45D0054325 CLIA NUMBER - CENTROMED CITY CENTER CLINIC

Laboratory Demographics

  • CLIA Code: 45D0054325
  • Facility Name: CENTROMED CITY CENTER CLINIC
  • Facility Address: 207 E EVERGREEN
    SAN ANTONIO, TX
    ZIP 78212
  • Facility Phone: 210 977-1903
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: NORMA G. PARRA
  • NPI Number: 1538264429
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0054325
LAB Type Federally Qualified Health Center
Facility Name CENTROMED CITY CENTER CLINIC
Street 207 E EVERGREEN
City SAN ANTONIO
State TX
ZIP 78212
Phone 210 977-1903
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/28/2025
Certificate Expiration Date 8/27/2027
Facility Type Federally Qualified Health Center
Lab Director NORMA G. PARRA

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