45D0995749 CLIA NUMBER - MARISSA N LARGOZA MD PA METHODIST PLAZA SUITE 191

Laboratory Demographics

  • CLIA Code: 45D0995749
  • Facility Name: MARISSA N LARGOZA MD PA METHODIST PLAZA SUITE 191
  • Facility Address: 4499 MEDICAL DRIVE, SUITE 191
    SAN ANTONIO, TX
    ZIP 78229
  • Facility Phone: (210) 692-0831
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARISSA N. LARGOZA MD
  • NPI Number: 1720183312
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 45D0995749
LAB Type Physician Office
Facility Name MARISSA N LARGOZA MD PA METHODIST PLAZA SUITE 191
Street 4499 MEDICAL DRIVE, SUITE 191
City SAN ANTONIO
State TX
ZIP 78229
Phone 2106920831
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 12/5/2024
Certificate Expiration Date 12/4/2026
Facility Type Physician Office
Lab Director MARISSA N. LARGOZA MD

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This page was last updated on: 5/18/2026