45D0893489 CLIA NUMBER - MEDICAL CENTER WEST

Laboratory Demographics

  • CLIA Code: 45D0893489
  • Facility Name: MEDICAL CENTER WEST
  • Facility Address: 1201 SOUTH MAIN STREET, STE 110
    BOERNE, TX
    ZIP 78006
  • Facility Phone: 830 249-6000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHELLE D. BERRY
  • NPI Number: 1396900528
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0893489
LAB Type Physician Office
Facility Name MEDICAL CENTER WEST
Street 1201 SOUTH MAIN STREET, STE 110
City BOERNE
State TX
ZIP 78006
Phone 830 249-6000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2025
Certificate Expiration Date 1/10/2027
Facility Type Physician Office
Lab Director MICHELLE D. BERRY

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