45D0966808 CLIA NUMBER - PATRICK H PETERS JR MD

Laboratory Demographics

  • CLIA Code: 45D0966808
  • Facility Name: PATRICK H PETERS JR MD
  • Facility Address: 9150 HUEBNER ROAD, SUITE 130
    SAN ANTONIO, TX
    ZIP 78240
  • Facility Phone: 210 521-7676
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PATRICK H. PETERS JR MD
  • NPI Number: 1275881286
  • Taxonomy: 225X00000X - Occupational Therapist

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CLIA Record

Field Name Field Value
CLIA Number 45D0966808
LAB Type Physician Office
Facility Name PATRICK H PETERS JR MD
Street 9150 HUEBNER ROAD, SUITE 130
City SAN ANTONIO
State TX
ZIP 78240
Phone 210 521-7676
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 6/24/2025
Certificate Expiration Date 6/23/2027
Facility Type Physician Office
Lab Director PATRICK H. PETERS JR MD

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