TRI-STATE TOXICOLOGY LLC
NPI 1003155979
Clinical Medical Laboratory in San Antonio, TX

Active since February 12, 2013CLIA 45D2053356 · Accreditation
422 W NAKOMA ST, SAN ANTONIO, TX 78216(210) 571-1300(210) 519-2811 Get Directions Write a Review

NPPES record last updated: August 8, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 8, 2022, Jul 26, 2022, Jun 8, 2020 and 1 more (4 updates tracked since 2019).

About Tri-state Toxicology Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRI-STATE TOXICOLOGY LLC (NPI 1003155979) is a healthcare organization registered as a clinical medical laboratory in San Antonio, Texas and active in the NPI registry since February 2013. The organization holds an CLIA Accreditation certificate valid through November 19, 2027 and lists Brandon Omar Gomez, Owner, as its authorized official.

NPPES Registry Identity

NPI1003155979
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameTRI-STATE TOXICOLOGY LLC
Location Address422 W NAKOMA STSan Antonio, TX 78216-2623
Mailing Address422 W Nakoma StSan Antonio, TX 78216-2623 · (210) 571-1300 · Fax (210) 519-2811
Fax(210) 519-2811
Organization SubpartYes
Authorized OfficialBrandon Omar GomezOwner · (210) 571-1300
Enumeration DateFebruary 12, 2013
Last NPPES UpdateAugust 8, 20224 updates tracked since enumeration
NPPES CertifiedAugust 8, 2022
NPI 1003155979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in TX · J1691
Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

422 W NAKOMA ST, San Antonio, TX 78216

Other Names 1

Doing Business AsTri-state Toxicology Llc

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 45D2053356

Tri-State Toxicology LLC Dba Xpress Covid Testing · San Antonio, TX
Active · expires Nov 19, 2027
CLIA Number45D2053356
Laboratory TypeIndependent
Certificate Effective DateNovember 20, 2025
Certificate Expiration DateNovember 19, 2027
Laboratory DirectorDr. Satish Chundru
Laboratory Phone(210) 571-1300
Laboratory LocationTri-State Toxicology LLC Dba Xpress Covid Testing424 W Nakoma Drive, San Antonio, TX 78216
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinical Medical Laboratory
422 W NAKOMA ST
SAN ANTONIO, TX 78216
Internal Medicine (Rheumatology)
422 W NAKOMA ST
SAN ANTONIO, TX 78216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tri-State Toxicology LLC's NPI number?

The NPI number for Tri-State Toxicology LLC is 1003155979. It was assigned to this organization in the NPPES registry on February 12, 2013.

Where is Tri-State Toxicology LLC located?

Tri-State Toxicology LLC is located at 422 W Nakoma St, San Antonio, TX 78216. The listed phone number is (210) 571-1300.

What is Tri-State Toxicology LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Tri-State Toxicology LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 45D2053356) is associated with this NPI, valid through November 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tri-State Toxicology LLC was last updated on August 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.