45D0979970 CLIA NUMBER - KATHLEEN JANE LYSSY MD

Laboratory Demographics

  • CLIA Code: 45D0979970
  • Facility Name: KATHLEEN JANE LYSSY MD
  • Facility Address: 6100 BANDERA RD SUITE 403
    SAN ANTONIO, TX
    ZIP 78238
  • Facility Phone: 210 256-9500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KATHLEEN J. LYSSY
  • NPI Number: 1831182005
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0979970
LAB Type Physician Office
Facility Name KATHLEEN JANE LYSSY MD
Street 6100 BANDERA RD SUITE 403
City SAN ANTONIO
State TX
ZIP 78238
Phone 210 256-9500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2024
Certificate Expiration Date 11/6/2026
Facility Type Physician Office
Lab Director KATHLEEN J. LYSSY

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