45D2106554 CLIA NUMBER - SAN ANTONIO EYE CENTER PA

Laboratory Demographics

  • CLIA Code: 45D2106554
  • Facility Name: SAN ANTONIO EYE CENTER PA
  • Facility Address: 6151 NW LOOP 410, SUITE 200
    SAN ANTONIO, TX
    ZIP 78238
  • Facility Phone: 210 226-6169
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALBERT CASTILLO
  • NPI Number: 1780925768
  • Taxonomy: 207RP1001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2106554
LAB Type Physician Office
Facility Name SAN ANTONIO EYE CENTER PA
Street 6151 NW LOOP 410, SUITE 200
City SAN ANTONIO
State TX
ZIP 78238
Phone 210 226-6169
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2023
Certificate Expiration Date 12/20/2025
Facility Type Physician Office
Lab Director ALBERT CASTILLO

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