45D0924006 CLIA NUMBER - TEXAS MEDCLINIC IG

Laboratory Demographics

  • CLIA Code: 45D0924006
  • Facility Name: TEXAS MEDCLINIC IG
  • Facility Address: 6570 INGRAM RD
    SAN ANTONIO, TX
    ZIP 78238
  • Facility Phone: 541 641-6053
  • Facility Type: Other - URGENT CARE
  • Facility Type: Microscopy
  • Lab Director: BRIAN RAIMONDO
  • NPI Number: 1578937868
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0924006
LAB Type Other - URGENT CARE
Facility Name TEXAS MEDCLINIC IG
Street 6570 INGRAM RD
City SAN ANTONIO
State TX
ZIP 78238
Phone 541 641-6053
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/10/2023
Certificate Expiration Date 12/9/2025
Facility Type Other - URGENT CARE
Lab Director BRIAN RAIMONDO

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