45D2261229 CLIA NUMBER - ADVANCED IMAGING SERVICES INC

Laboratory Demographics

  • CLIA Code: 45D2261229
  • Facility Name: ADVANCED IMAGING SERVICES INC
  • Facility Address: 5501 GRISSOM, STE 101
    SAN ANTONIO, TX
    ZIP 78238
  • Facility Phone: (210) 684-0409
  • Facility Type: Other - TEMP SITE/PORTABLE LAB
  • Facility Type: Waiver
  • Lab Director: DAVID A. NASCHKE
  • NPI Number: 1184884496
  • Taxonomy: 293D00000X - Physiological Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 45D2261229
LAB Type Other - TEMP SITE/PORTABLE LAB
Facility Name ADVANCED IMAGING SERVICES INC
Street 5501 GRISSOM, STE 101
City SAN ANTONIO
State TX
ZIP 78238
Phone 2106840409
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/27/2024
Certificate Expiration Date 5/26/2026
Facility Type Other - TEMP SITE/PORTABLE LAB
Lab Director DAVID A. NASCHKE

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This page was last updated on: 5/18/2026