45D2133183 CLIA NUMBER - WESTOVER HILLS DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 45D2133183
  • Facility Name: WESTOVER HILLS DERMATOLOGY
  • Facility Address: 9018 CULEBRA ROAD, 104
    SAN ANTONIO, TX
    ZIP 78251
  • Facility Phone: 830 276-2600
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MOBOLAJI OPEOLA
  • NPI Number: 1366980047
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 45D2133183
LAB Type Physician Office
Facility Name WESTOVER HILLS DERMATOLOGY
Street 9018 CULEBRA ROAD, 104
City SAN ANTONIO
State TX
ZIP 78251
Phone 830 276-2600
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/7/2025
Certificate Expiration Date 7/6/2027
Facility Type Physician Office
Lab Director MOBOLAJI OPEOLA

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