45D2135079 CLIA NUMBER - PYRA MED HEALTH SERVICES LLC DBA AVEANNA HEALTHCARE

Laboratory Demographics

  • CLIA Code: 45D2135079
  • Facility Name: PYRA MED HEALTH SERVICES LLC DBA AVEANNA HEALTHCARE
  • Facility Address: 4502 CENTERVIEW DRIVE, SUITE 150
    SAN ANTONIO, TX
    ZIP 78228
  • Facility Phone: 210 377-3742
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: LETICIA CARRASCO
  • NPI Number: 1740316561
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D2135079
LAB Type Home Health Agency
Facility Name PYRA MED HEALTH SERVICES LLC DBA AVEANNA HEALTHCARE
Street 4502 CENTERVIEW DRIVE, SUITE 150
City SAN ANTONIO
State TX
ZIP 78228
Phone 210 377-3742
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Home Health Agency
Lab Director LETICIA CARRASCO

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