45D0922985 CLIA NUMBER - JOSEPH MAROTTA MD

Laboratory Demographics

  • CLIA Code: 45D0922985
  • Facility Name: JOSEPH MAROTTA MD
  • Facility Address: 1200 BROOKLYN AVE STE 310
    SAN ANTONIO, TX
    ZIP 78212
  • Facility Phone: 210 475-0605
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH A. MAROTTA
  • NPI Number: 1669634192
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0922985
LAB Type Physician Office
Facility Name JOSEPH MAROTTA MD
Street 1200 BROOKLYN AVE STE 310
City SAN ANTONIO
State TX
ZIP 78212
Phone 210 475-0605
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2025
Certificate Expiration Date 2/18/2027
Facility Type Physician Office
Lab Director JOSEPH A. MAROTTA

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