45D0500275 CLIA NUMBER - PEDIATRICS AND ADOLESCENTS

Laboratory Demographics

  • CLIA Code: 45D0500275
  • Facility Name: PEDIATRICS AND ADOLESCENTS
  • Facility Address: 3111 SAN PEDRO
    SAN ANTONIO, TX
    ZIP 78212
  • Facility Phone: 210 732-7141
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: REBECCA W. RIZO
  • NPI Number: 1861528598
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D0500275
LAB Type Physician Office
Facility Name PEDIATRICS AND ADOLESCENTS
Street 3111 SAN PEDRO
City SAN ANTONIO
State TX
ZIP 78212
Phone 210 732-7141
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Physician Office
Lab Director REBECCA W. RIZO

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