45D0866015 CLIA NUMBER - SOUTHWEST CLINIC

Laboratory Demographics

  • CLIA Code: 45D0866015
  • Facility Name: SOUTHWEST CLINIC
  • Facility Address: 207 SOUTHWEST MILITARY DR
    SAN ANTONIO, TX
    ZIP 78221
  • Facility Phone: 210 922-2999
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALEXANDER MORA
  • NPI Number: 1558616177
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0866015
LAB Type Physician Office
Facility Name SOUTHWEST CLINIC
Street 207 SOUTHWEST MILITARY DR
City SAN ANTONIO
State TX
ZIP 78221
Phone 210 922-2999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2024
Certificate Expiration Date 1/30/2026
Facility Type Physician Office
Lab Director ALEXANDER MORA

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