45D2115432 CLIA NUMBER - VISTA RUN

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CLIA Record

Field Name Field Value
CLIA Number 45D2115432
LAB Type Other - GROUP HOME
Facility Name VISTA RUN
Street 5303 VISTA RUN
City SAN ANTONIO
State TX
ZIP 78247
Phone 210 979-7009
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/7/2024
Certificate Expiration Date 7/6/2026
Facility Type Other - GROUP HOME
Lab Director WYNNE FOWLER

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