45D1040279 CLIA NUMBER - MEDICAL CLINIC AT SOUTHWEST RESEARCH

Laboratory Demographics

  • CLIA Code: 45D1040279
  • Facility Name: MEDICAL CLINIC AT SOUTHWEST RESEARCH
  • Facility Address: 6220 CULEBRA ROAD, BLDG 89
    SAN ANTONIO, TX
    ZIP 78238
  • Facility Phone: 210 522-2220
  • Facility Type: Other - OCCUPATIONAL HEALTH CLINI
  • Facility Type: Waiver
  • Lab Director: SOLOMON PALEY
  • NPI Number: 1902053523
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 45D1040279
LAB Type Other - OCCUPATIONAL HEALTH CLINI
Facility Name MEDICAL CLINIC AT SOUTHWEST RESEARCH
Street 6220 CULEBRA ROAD, BLDG 89
City SAN ANTONIO
State TX
ZIP 78238
Phone 210 522-2220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2025
Certificate Expiration Date 5/4/2027
Facility Type Other - OCCUPATIONAL HEALTH CLINI
Lab Director SOLOMON PALEY

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