45D2266332 CLIA NUMBER - DANDAN PRIMARY CARE DBA HARLANDALE CLINIC

Laboratory Demographics

  • CLIA Code: 45D2266332
  • Facility Name: DANDAN PRIMARY CARE DBA HARLANDALE CLINIC
  • Facility Address: 354 E SOUTHCROSS BLVD, SUITE 100
    SAN ANTONIO, TX
    ZIP 78214
  • Facility Phone: 210 880-1196
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANDAN MELHEM
  • NPI Number: 1235804964
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2266332
LAB Type Physician Office
Facility Name DANDAN PRIMARY CARE DBA HARLANDALE CLINIC
Street 354 E SOUTHCROSS BLVD, SUITE 100
City SAN ANTONIO
State TX
ZIP 78214
Phone 210 880-1196
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2024
Certificate Expiration Date 8/8/2026
Facility Type Physician Office
Lab Director DANDAN MELHEM

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