45D2104514 CLIA NUMBER - SNG-COLUMBIA SQUARE DIALYSIS CENTER LP

Laboratory Demographics

  • CLIA Code: 45D2104514
  • Facility Name: SNG-COLUMBIA SQUARE DIALYSIS CENTER LP
  • Facility Address: 1711 COLUMBIA SQUARE
    SAN ANTONIO, TX
    ZIP 78227
  • Facility Phone: 210 455-8836
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: BADRAN NIDAL
  • NPI Number: 1588071435
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2104514
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SNG-COLUMBIA SQUARE DIALYSIS CENTER LP
Street 1711 COLUMBIA SQUARE
City SAN ANTONIO
State TX
ZIP 78227
Phone 210 455-8836
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2023
Certificate Expiration Date 11/4/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director BADRAN NIDAL

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This page was last updated on: 3/20/2025