45D2243905 CLIA NUMBER - SOUTH TEXAS COMMUNITY LIVING CORP - BURR HILL HOME

Laboratory Demographics

CLIA Number: 45D2243905

Facility Name: SOUTH TEXAS COMMUNITY LIVING CORP - BURR HILL HOME

Facility Address:
16402 BURR HILL
SAN ANTONIO, TX
ZIP 78247
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Facility Phone Number: 210 494-1030

Facility Type: Intermediate Care Facility for Mentally Retarded

Certificate Type: Waiver

NPI Number: 1740726868

Taxonomy: 208M00000X - Hospitalist
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

CLIA Record

Field Name Field Value
CLIA Number 45D2243905
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name SOUTH TEXAS COMMUNITY LIVING CORP - BURR HILL HOME
Street 16402 BURR HILL
City SAN ANTONIO
State TX
ZIP 78247
Phone 210 494-1030
CertificateType 4
CertificateEffectiveDate 11/23/2023
CertificateExpirationDate 11/22/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024