45D2243819 CLIA NUMBER - GROWING CAPABILITIES HILLSIDE RIDGE HOUSE

Laboratory Demographics

  • CLIA Code: 45D2243819
  • Facility Name: GROWING CAPABILITIES HILLSIDE RIDGE HOUSE
  • Facility Address: 14727 HILLSIDE RIDGE
    SAN ANTONIO, TX
    ZIP 78233
  • Facility Phone: 210 494-1030
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: NANCY D. WALL
  • NPI Number: 1760605323
  • Taxonomy: 315P00000X - Intermediate Care Facility, Intellectual Disabilities

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CLIA Record

Field Name Field Value
CLIA Number 45D2243819
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name GROWING CAPABILITIES HILLSIDE RIDGE HOUSE
Street 14727 HILLSIDE RIDGE
City SAN ANTONIO
State TX
ZIP 78233
Phone 210 494-1030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/23/2023
Certificate Expiration Date 11/22/2025
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director NANCY D. WALL

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