45D2292444 CLIA NUMBER - AURAVIA WELLNESS LLC

Laboratory Demographics

  • CLIA Code: 45D2292444
  • Facility Name: AURAVIA WELLNESS LLC
  • Facility Address: 14701 SAN PEDRO AVE 240
    SAN ANTONIO, TX
    ZIP 78232
  • Facility Phone: 956 648-8122
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARITZA A. GARZA
  • NPI Number: 1164200283
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2292444
LAB Type Physician Office
Facility Name AURAVIA WELLNESS LLC
Street 14701 SAN PEDRO AVE 240
City SAN ANTONIO
State TX
ZIP 78232
Phone 956 648-8122
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2023
Certificate Expiration Date 10/24/2025
Facility Type Physician Office
Lab Director MARITZA A. GARZA

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