45D2297772 CLIA NUMBER - FLOURISHING FOUNDATIONS RECOVERY LLC

Laboratory Demographics

  • CLIA Code: 45D2297772
  • Facility Name: FLOURISHING FOUNDATIONS RECOVERY LLC
  • Facility Address: 6707 W HAUSMAN RD
    SAN ANTONIO, TX
    ZIP 78249
  • Facility Phone: 805 796-1253
  • Facility Type: Other - OUTPATIENT DETOX
  • Facility Type: Waiver
  • Lab Director: NICHOLAS DIMARTINO
  • NPI Number: 1265168942
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2297772
LAB Type Other - OUTPATIENT DETOX
Facility Name FLOURISHING FOUNDATIONS RECOVERY LLC
Street 6707 W HAUSMAN RD
City SAN ANTONIO
State TX
ZIP 78249
Phone 805 796-1253
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2024
Certificate Expiration Date 1/21/2026
Facility Type Other - OUTPATIENT DETOX
Lab Director NICHOLAS DIMARTINO

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