CLIA Code Details

Clinical Laboratory Code : 45d2273604

SHANE LLC, DBA PINETREE LANE (INTERMEDIATE CARE FACILITY FOR MENTALLY RETARDED)

Clinical Laboratory Information

Similar CLIA Codes
CLIA Number 45D2273604
Clinical laboratory number
Lab Name SHANE LLC, DBA PINETREE LANE
Laboratory Name
Lab Type Intermediate Care Facility for Mentally Retarded
Laboratory Type
Certificate Type Waiver
Clinical laboratory certificate type

Contacts

Phone 210-403-9372
Laboratory telephone number
Fax 210-495-1538
Fax number of the provider.

Facility Location

Street Address 2002 PINETREE
Primary location adress line
City SAN ANTONIO
Primary location city name
State TX
Primary location state name
Zip 78232
Primary location postal code

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