45D1034282 CLIA NUMBER - HEALTH TEXAS MEDICAL GROUP-HILL COUNTRY CLINIC

Laboratory Demographics

  • CLIA Code: 45D1034282
  • Facility Name: HEALTH TEXAS MEDICAL GROUP-HILL COUNTRY CLINIC
  • Facility Address: 105 FALLS COURT SUITE 100
    BOERNE, TX
    ZIP 78006
  • Facility Phone: 210 731-4800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL KONOPACKI
  • NPI Number: 1194791566
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1034282
LAB Type Physician Office
Facility Name HEALTH TEXAS MEDICAL GROUP-HILL COUNTRY CLINIC
Street 105 FALLS COURT SUITE 100
City BOERNE
State TX
ZIP 78006
Phone 210 731-4800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2024
Certificate Expiration Date 11/29/2026
Facility Type Physician Office
Lab Director MICHAEL KONOPACKI

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