45D0955467 CLIA NUMBER - LISA A DAVIS MD

Laboratory Demographics

  • CLIA Code: 45D0955467
  • Facility Name: LISA A DAVIS MD
  • Facility Address: 520 CAMDEN STREET
    SAN ANTONIO, TX
    ZIP 78215
  • Facility Phone: 210 223-3246
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LISA A. DAVIS MD
  • NPI Number: 1285648808
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0955467
LAB Type Physician Office
Facility Name LISA A DAVIS MD
Street 520 CAMDEN STREET
City SAN ANTONIO
State TX
ZIP 78215
Phone 210 223-3246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/31/2024
Certificate Expiration Date 12/30/2026
Facility Type Physician Office
Lab Director LISA A. DAVIS MD

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This page was last updated on: 6/4/2025