Organization
SOUTH TEXAS CLINICAL LABORATORY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW P. SANDERS (OWNER)
(361) 516-1601
Entity
Organization
Contact information
Practice address
427 DURANTA AVE, STE 101 A, ALAMO, TX 78516
(361) 516-1601
Mailing address
PO BOX 1162, KINGSVILLE, TX 78364-1162
(361) 516-1601
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45D2148863
CLIA
TX
Enumeration date
01/31/2019
Last updated
06/08/2023
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