45D0973308 CLIA NUMBER - JEROME T WASHINGTON MD

Laboratory Demographics

  • CLIA Code: 45D0973308
  • Facility Name: JEROME T WASHINGTON MD
  • Facility Address: 7922 EWING HALSELL SUITE 170
    SAN ANTONIO, TX
    ZIP 78229
  • Facility Phone: 210 614-7993
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JEROME T. WASHINGTON
  • NPI Number: 1083672679
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0973308
LAB Type Physician Office
Facility Name JEROME T WASHINGTON MD
Street 7922 EWING HALSELL SUITE 170
City SAN ANTONIO
State TX
ZIP 78229
Phone 210 614-7993
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 1/16/2024
Certificate Expiration Date 1/15/2026
Facility Type Physician Office
Lab Director JEROME T. WASHINGTON

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