45D0500612 CLIA NUMBER - NORTH CENTRAL FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 45D0500612
  • Facility Name: NORTH CENTRAL FAMILY PRACTICE
  • Facility Address: 226 BITTERS RD SUITE 100
    SAN ANTONIO, TX
    ZIP 78216
  • Facility Phone: 210 494-7724
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAVIER G. GONZALEZ MD
  • NPI Number: 1952319279
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0500612
LAB Type Physician Office
Facility Name NORTH CENTRAL FAMILY PRACTICE
Street 226 BITTERS RD SUITE 100
City SAN ANTONIO
State TX
ZIP 78216
Phone 210 494-7724
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2024
Certificate Expiration Date 8/8/2026
Facility Type Physician Office
Lab Director JAVIER G. GONZALEZ MD

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