45D1036088 CLIA NUMBER - CENTROMED SARAH DAVIDSON CLINIC

Laboratory Demographics

  • CLIA Code: 45D1036088
  • Facility Name: CENTROMED SARAH DAVIDSON CLINIC
  • Facility Address: 1 HAVEN HOPE WAY, BLDG 1 SUITE 300
    SAN ANTONIO, TX
    ZIP 78207
  • Facility Phone: 210 977-1903
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: NORMA G. PARRA
  • NPI Number: 1699841569
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1036088
LAB Type Federally Qualified Health Center
Facility Name CENTROMED SARAH DAVIDSON CLINIC
Street 1 HAVEN HOPE WAY, BLDG 1 SUITE 300
City SAN ANTONIO
State TX
ZIP 78207
Phone 210 977-1903
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/20/2025
Certificate Expiration Date 1/19/2027
Facility Type Federally Qualified Health Center
Lab Director NORMA G. PARRA

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