45D2205422 CLIA NUMBER - RUELAS MANAGEMENT SERVICES, LLC DBA SAN ANTONIO RECOVERY CENTER

Laboratory Demographics

  • CLIA Code: 45D2205422
  • Facility Name: RUELAS MANAGEMENT SERVICES, LLC DBA SAN ANTONIO RECOVERY CENTER
  • Facility Address: 8975 CAGNON ROAD
    SAN ANTONIO, TX
    ZIP 78252
  • Facility Phone: 210 432-4377
  • Facility Type: Other - RESIDENTIAL TREATMENT SUB
  • Facility Type: Waiver
  • Lab Director: JACQUILYN N. LEATH
  • NPI Number: 1689995656
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2205422
LAB Type Other - RESIDENTIAL TREATMENT SUB
Facility Name RUELAS MANAGEMENT SERVICES, LLC DBA SAN ANTONIO RECOVERY CENTER
Street 8975 CAGNON ROAD
City SAN ANTONIO
State TX
ZIP 78252
Phone 210 432-4377
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Other - RESIDENTIAL TREATMENT SUB
Lab Director JACQUILYN N. LEATH

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