45D2216882 CLIA NUMBER - THE HAVEN IN STONE OAK

Laboratory Demographics

  • CLIA Code: 45D2216882
  • Facility Name: THE HAVEN IN STONE OAK
  • Facility Address: 511 KNIGHT CROSS DRIVE
    SAN ANTONIO, TX
    ZIP 78258
  • Facility Phone: 210 404-2687
  • Facility Type: Other - MEMORY CARE ALZ
  • Facility Type: Waiver
  • Lab Director: DODIE MARTINEZ
  • NPI Number: 1558520411
  • Taxonomy: 311500000X - Alzheimer Center (Dementia Center)

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CLIA Record

Field Name Field Value
CLIA Number 45D2216882
LAB Type Other - MEMORY CARE ALZ
Facility Name THE HAVEN IN STONE OAK
Street 511 KNIGHT CROSS DRIVE
City SAN ANTONIO
State TX
ZIP 78258
Phone 210 404-2687
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2025
Certificate Expiration Date 3/16/2027
Facility Type Other - MEMORY CARE ALZ
Lab Director DODIE MARTINEZ

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