45D1012195 CLIA NUMBER - VIVA PEDIATRICS PA

Laboratory Demographics

  • CLIA Code: 45D1012195
  • Facility Name: VIVA PEDIATRICS PA
  • Facility Address: 7430 BARLITE BOULEVARD SUITE 104
    SAN ANTONIO, TX
    ZIP 78224
  • Facility Phone: 210 977-9080
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICARDO CUELLAR MD
  • NPI Number: 1790833291
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D1012195
LAB Type Physician Office
Facility Name VIVA PEDIATRICS PA
Street 7430 BARLITE BOULEVARD SUITE 104
City SAN ANTONIO
State TX
ZIP 78224
Phone 210 977-9080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2025
Certificate Expiration Date 5/4/2027
Facility Type Physician Office
Lab Director RICARDO CUELLAR MD

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