45D0977976 CLIA NUMBER - STONE OAK FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 45D0977976
  • Facility Name: STONE OAK FAMILY PRACTICE
  • Facility Address: 109 GALLERY CIRCLE SUITE 131
    SAN ANTONIO, TX
    ZIP 78258
  • Facility Phone: 210 490-5100
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: STEPHEN F. RAMIREZ
  • NPI Number: 1538619440
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D0977976
LAB Type Physician Office
Facility Name STONE OAK FAMILY PRACTICE
Street 109 GALLERY CIRCLE SUITE 131
City SAN ANTONIO
State TX
ZIP 78258
Phone 210 490-5100
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 9/12/2024
Certificate Expiration Date 9/11/2026
Facility Type Physician Office
Lab Director STEPHEN F. RAMIREZ

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