45D0498922 CLIA NUMBER - BANDERA FAMILY PRACTICE CLINIC

Laboratory Demographics

  • CLIA Code: 45D0498922
  • Facility Name: BANDERA FAMILY PRACTICE CLINIC
  • Facility Address: 1050 HWY 16 SOUTH
    BANDERA, TX
    ZIP 78003
  • Facility Phone: 830 796-7713
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SALEH JAAFAR
  • NPI Number: 1487992418
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D0498922
LAB Type Physician Office
Facility Name BANDERA FAMILY PRACTICE CLINIC
Street 1050 HWY 16 SOUTH
City BANDERA
State TX
ZIP 78003
Phone 830 796-7713
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 8/31/2025
Certificate Expiration Date 8/30/2027
Facility Type Physician Office
Lab Director SALEH JAAFAR

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