45D2133183 CLIA NUMBER - WESTOVER HILLS DERMATOLOGY

Laboratory Demographics

CLIA Number: 45D2133183

Facility Name: WESTOVER HILLS DERMATOLOGY

Facility Address:
9018 CULEBRA ROAD, 104
SAN ANTONIO, TX
ZIP 78251
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Facility Phone Number: 830 276-2600

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1366980047

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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
CertificateType	3
CertificateEffectiveDate	7/7/2023
CertificateExpirationDate	7/6/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024