45D2120650 CLIA NUMBER - DSI SOUTHEAST SAN ANTONIO DBA US RENAL CARE SOUTHEAST SAN ANTONIO DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D2120650
  • Facility Name: DSI SOUTHEAST SAN ANTONIO DBA US RENAL CARE SOUTHEAST SAN ANTONIO DIALYSIS
  • Facility Address: 2635 SE MILITARY DRIVE
    SAN ANTONIO, TX
    ZIP 78223
  • Facility Phone: 210 202-3022
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: LUIS VELEZ
  • NPI Number: 1467810325
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2120650
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DSI SOUTHEAST SAN ANTONIO DBA US RENAL CARE SOUTHEAST SAN ANTONIO DIALYSIS
Street 2635 SE MILITARY DRIVE
City SAN ANTONIO
State TX
ZIP 78223
Phone 210 202-3022
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2024
Certificate Expiration Date 10/19/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director LUIS VELEZ

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