45D2184788 CLIA NUMBER - VISITING PRACTITIONERS AND PALLIATIVE CARE

Laboratory Demographics

  • CLIA Code: 45D2184788
  • Facility Name: VISITING PRACTITIONERS AND PALLIATIVE CARE
  • Facility Address: 15420 NACOGDOCHES ROAD
    SAN ANTONIO, TX
    ZIP 78247
  • Facility Phone: 210 960-2833
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: CHRISTINA MKHANTAR
  • NPI Number: 1063043255
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2184788
LAB Type Practitioner Other
Facility Name VISITING PRACTITIONERS AND PALLIATIVE CARE
Street 15420 NACOGDOCHES ROAD
City SAN ANTONIO
State TX
ZIP 78247
Phone 210 960-2833
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2024
Certificate Expiration Date 5/25/2026
Facility Type Practitioner Other
Lab Director CHRISTINA MKHANTAR

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