45D2168802 CLIA NUMBER - BEXAR COUNTY ESD NO 2

Laboratory Demographics

  • CLIA Code: 45D2168802
  • Facility Name: BEXAR COUNTY ESD NO 2
  • Facility Address: 7045 OLD TALLEY ROAD
    SAN ANTONIO, TX
    ZIP 78253
  • Facility Phone: 210 429-9112
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MARK MONTGOMERY
  • NPI Number: 1548823263
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 45D2168802
LAB Type Ambulance
Facility Name BEXAR COUNTY ESD NO 2
Street 7045 OLD TALLEY ROAD
City SAN ANTONIO
State TX
ZIP 78253
Phone 210 429-9112
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2025
Certificate Expiration Date 7/8/2027
Facility Type Ambulance
Lab Director MARK MONTGOMERY

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