45D2112389 CLIA NUMBER - NEURO RESTORATIVE SAN ANTONIO

Laboratory Demographics

  • CLIA Code: 45D2112389
  • Facility Name: NEURO RESTORATIVE SAN ANTONIO
  • Facility Address: 11103 WEST AVE BUILDING #3 STE 309
    SAN ANTONIO, TX
    ZIP 78213
  • Facility Phone: 210 541-0238
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JOSE SANTOS
  • NPI Number: 1043581937
  • Taxonomy: 283X00000X - Rehabilitation Hospital

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CLIA Record

Field Name Field Value
CLIA Number 45D2112389
LAB Type Assisted Living Facility
Facility Name NEURO RESTORATIVE SAN ANTONIO
Street 11103 WEST AVE BUILDING #3 STE 309
City SAN ANTONIO
State TX
ZIP 78213
Phone 210 541-0238
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2024
Certificate Expiration Date 4/27/2026
Facility Type Assisted Living Facility
Lab Director JOSE SANTOS

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