45D2193420 CLIA NUMBER - SAN ANGELO CARDIOVASCULAR CENTER OF EXCELLENCE

Laboratory Demographics

  • CLIA Code: 45D2193420
  • Facility Name: SAN ANGELO CARDIOVASCULAR CENTER OF EXCELLENCE
  • Facility Address: 3180 EXECUTIVE DRIVE SUITE 102
    SAN ANGELO, TX
    ZIP 76904
  • Facility Phone: 325 944-1240
  • Facility Type: Other - OFFICE BUILDING LAB
  • Facility Type: Accreditation
  • Lab Director: MILTIADIS N. LEON
  • NPI Number: 1891703856
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 45D2193420
LAB Type Other - OFFICE BUILDING LAB
Facility Name SAN ANGELO CARDIOVASCULAR CENTER OF EXCELLENCE
Street 3180 EXECUTIVE DRIVE SUITE 102
City SAN ANGELO
State TX
ZIP 76904
Phone 325 944-1240
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 4/6/2024
Certificate Expiration Date 4/5/2026
Facility Type Other - OFFICE BUILDING LAB
Lab Director MILTIADIS N. LEON

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