45D0964309 CLIA NUMBER - SAN MARCOS FAMILY MEDICINE PA

Laboratory Demographics

  • CLIA Code: 45D0964309
  • Facility Name: SAN MARCOS FAMILY MEDICINE PA
  • Facility Address: 2406 HUNTER ROAD SUITE 106
    SAN MARCOS, TX
    ZIP 78666
  • Facility Phone: 512 396-7686
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALAN L. LEE
  • NPI Number: 1619218096
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0964309
LAB Type Physician Office
Facility Name SAN MARCOS FAMILY MEDICINE PA
Street 2406 HUNTER ROAD SUITE 106
City SAN MARCOS
State TX
ZIP 78666
Phone 512 396-7686
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2024
Certificate Expiration Date 6/25/2026
Facility Type Physician Office
Lab Director ALAN L. LEE

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