45D0992043 CLIA NUMBER - LETICIA A CERDA MD

Laboratory Demographics

  • CLIA Code: 45D0992043
  • Facility Name: LETICIA A CERDA MD
  • Facility Address: 1202 WEST BITTERS ROAD BUILDING 4
    SAN ANTONIO, TX
    ZIP 78216
  • Facility Phone: 210 492-9144
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LETICIA A. CERDA MD
  • NPI Number: 1255812970
  • Taxonomy: 163WP0200X - Registered Nurse

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CLIA Record

Field Name Field Value
CLIA Number 45D0992043
LAB Type Physician Office
Facility Name LETICIA A CERDA MD
Street 1202 WEST BITTERS ROAD BUILDING 4
City SAN ANTONIO
State TX
ZIP 78216
Phone 210 492-9144
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2025
Certificate Expiration Date 10/4/2027
Facility Type Physician Office
Lab Director LETICIA A. CERDA MD

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