45D2314628 CLIA NUMBER - EPIC AMBULATORY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 45D2314628
  • Facility Name: EPIC AMBULATORY SURGERY CENTER
  • Facility Address: 3204 NAPIER PARK
    SHAVANO PARK, TX
    ZIP 78231
  • Facility Phone: 210 403-2000
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RAHEEL BENGALI
  • NPI Number: 1396563177
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2314628
LAB Type Ambulatory Surgery Center
Facility Name EPIC AMBULATORY SURGERY CENTER
Street 3204 NAPIER PARK
City SHAVANO PARK
State TX
ZIP 78231
Phone 210 403-2000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/24/2024
Certificate Expiration Date 11/23/2026
Facility Type Ambulatory Surgery Center
Lab Director RAHEEL BENGALI

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