45D0715847 CLIA NUMBER - MARIO R JUAREZ MD PA

Laboratory Demographics

  • CLIA Code: 45D0715847
  • Facility Name: MARIO R JUAREZ MD PA
  • Facility Address: 4151 CALLAGHAN RD #102
    SAN ANTONIO, TX
    ZIP 78228
  • Facility Phone: 210 681-6380
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIO R. JUAREZ
  • NPI Number: 1073523866
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0715847
LAB Type Physician Office
Facility Name MARIO R JUAREZ MD PA
Street 4151 CALLAGHAN RD #102
City SAN ANTONIO
State TX
ZIP 78228
Phone 210 681-6380
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/6/2024
Certificate Expiration Date 5/5/2026
Facility Type Physician Office
Lab Director MARIO R. JUAREZ

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