45D0993229 CLIA NUMBER - CENTROMED - THOUSAND OAKS

Laboratory Demographics

  • CLIA Code: 45D0993229
  • Facility Name: CENTROMED - THOUSAND OAKS
  • Facility Address: 4300 THOUSAND OAKS DR
    SAN ANTONIO, TX
    ZIP 78217
  • Facility Phone: 210 977-1903
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: NORMA G. PARRA
  • NPI Number: 1134452360
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0993229
LAB Type Federally Qualified Health Center
Facility Name CENTROMED - THOUSAND OAKS
Street 4300 THOUSAND OAKS DR
City SAN ANTONIO
State TX
ZIP 78217
Phone 210 977-1903
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 11/7/2023
Certificate Expiration Date 11/6/2025
Facility Type Federally Qualified Health Center
Lab Director NORMA G. PARRA

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