45D1020128 CLIA NUMBER - DANIEL JUAREZ MD PA

Laboratory Demographics

  • CLIA Code: 45D1020128
  • Facility Name: DANIEL JUAREZ MD PA
  • Facility Address: 1303 MCCULLOUGH SUITE 248
    SAN ANTONIO, TX
    ZIP 78212
  • Facility Phone: 210 220-3737
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIEL JUAREZ
  • NPI Number: 1942303193
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1020128
LAB Type Physician Office
Facility Name DANIEL JUAREZ MD PA
Street 1303 MCCULLOUGH SUITE 248
City SAN ANTONIO
State TX
ZIP 78212
Phone 210 220-3737
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2023
Certificate Expiration Date 12/11/2025
Facility Type Physician Office
Lab Director DANIEL JUAREZ

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