45D1033210 CLIA NUMBER - IVAN RAMIREZ, MD

Laboratory Demographics

  • CLIA Code: 45D1033210
  • Facility Name: IVAN RAMIREZ, MD
  • Facility Address: 9670 RANCH RD 12
    WIMBERLEY, TX
    ZIP 78676
  • Facility Phone: 512 847-6789
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IVAN RAMIREZ
  • NPI Number: 1053464008
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1033210
LAB Type Physician Office
Facility Name IVAN RAMIREZ, MD
Street 9670 RANCH RD 12
City WIMBERLEY
State TX
ZIP 78676
Phone 512 847-6789
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Physician Office
Lab Director IVAN RAMIREZ

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