45D2253742 CLIA NUMBER - CONCIERGE CARE & CONSULTING, PLLC (CCC-MED)

Laboratory Demographics

  • CLIA Code: 45D2253742
  • Facility Name: CONCIERGE CARE & CONSULTING, PLLC (CCC-MED)
  • Facility Address: 11212 STATE HWY 151 PLAZA 2, SUITE 240
    SAN ANTONIO, TX
    ZIP 78251
  • Facility Phone: 706 464-1331
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ANITA E. GOULD
  • NPI Number: 1801531512
  • Taxonomy: 363LF0000X - Nurse Practitioner

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2253742
LAB Type Practitioner Other
Facility Name CONCIERGE CARE & CONSULTING, PLLC (CCC-MED)
Street 11212 STATE HWY 151 PLAZA 2, SUITE 240
City SAN ANTONIO
State TX
ZIP 78251
Phone 706 464-1331
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2024
Certificate Expiration Date 2/22/2026
Facility Type Practitioner Other
Lab Director ANITA E. GOULD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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