45D2267178 CLIA NUMBER - MINDFUL INNOVATIONS COUNSELING SERVICE

Laboratory Demographics

  • CLIA Code: 45D2267178
  • Facility Name: MINDFUL INNOVATIONS COUNSELING SERVICE
  • Facility Address: 1747 CITADEL PLAZA #205
    SAN ANTONIO, TX
    ZIP 78209
  • Facility Phone: 210 467-5395
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: GUILLERMO RODRIGUEZ
  • NPI Number: 1487055992
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2267178
LAB Type Independent
Facility Name MINDFUL INNOVATIONS COUNSELING SERVICE
Street 1747 CITADEL PLAZA #205
City SAN ANTONIO
State TX
ZIP 78209
Phone 210 467-5395
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2024
Certificate Expiration Date 8/21/2026
Facility Type Independent
Lab Director GUILLERMO RODRIGUEZ

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