45D0498332 CLIA NUMBER - ST JOSEPH PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 45D0498332
  • Facility Name: ST JOSEPH PRIMARY CARE
  • Facility Address: 2210 EAST 29TH STREET
    BRYAN, TX
    ZIP 77802
  • Facility Phone: 979 821-6300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID DAMIAN
  • NPI Number: 1386772010
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D0498332
LAB Type Physician Office
Facility Name ST JOSEPH PRIMARY CARE
Street 2210 EAST 29TH STREET
City BRYAN
State TX
ZIP 77802
Phone 979 821-6300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2024
Certificate Expiration Date 9/1/2026
Facility Type Physician Office
Lab Director DAVID DAMIAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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