45D2100324 CLIA NUMBER - BROOKS CITY BASE COMPLETE CARE

Laboratory Demographics

  • CLIA Code: 45D2100324
  • Facility Name: BROOKS CITY BASE COMPLETE CARE
  • Facility Address: 2619 SE MILITARY DRIVE, SUITE 101
    SAN ANTONIO, TX
    ZIP 78223
  • Facility Phone: 210 704-1777
  • Facility Type: Other - FREE STANDING EMERGENCY R
  • Facility Type: Certificate of Compliance
  • Lab Director: BRENT M. WYATT
  • NPI Number: 1881063030
  • Taxonomy: 261QE0002X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2100324
LAB Type Other - FREE STANDING EMERGENCY R
Facility Name BROOKS CITY BASE COMPLETE CARE
Street 2619 SE MILITARY DRIVE, SUITE 101
City SAN ANTONIO
State TX
ZIP 78223
Phone 210 704-1777
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 6/8/2024
Certificate Expiration Date 6/7/2026
Facility Type Other - FREE STANDING EMERGENCY R
Lab Director BRENT M. WYATT

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This page was last updated on: 9/29/2025