45D1016046 CLIA NUMBER - PROGRESSIVE CLINICAL RESEARCH

Laboratory Demographics

  • CLIA Code: 45D1016046
  • Facility Name: PROGRESSIVE CLINICAL RESEARCH
  • Facility Address: 1973 NORTHWEST LOOP 410, STE 106
    SAN ANTONIO, TX
    ZIP 78213
  • Facility Phone: 210 614-5557
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: MARK S. LEE
  • NPI Number: 1528959335
  • Taxonomy: 103K00000X - Behavior Analyst

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CLIA Record

Field Name Field Value
CLIA Number 45D1016046
LAB Type Other
Facility Name PROGRESSIVE CLINICAL RESEARCH
Street 1973 NORTHWEST LOOP 410, STE 106
City SAN ANTONIO
State TX
ZIP 78213
Phone 210 614-5557
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2025
Certificate Expiration Date 8/18/2027
Facility Type Other
Lab Director MARK S. LEE

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