45D1041777 CLIA NUMBER - SOUTH TOWN CLINIC PC

Laboratory Demographics

  • CLIA Code: 45D1041777
  • Facility Name: SOUTH TOWN CLINIC PC
  • Facility Address: 1025 SOUTH PRESA
    SAN ANTONIO, TX
    ZIP 78210
  • Facility Phone: 210 228-9340
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MARY G. CURLL
  • NPI Number: 1124201652
  • Taxonomy: 363LF0000X - Nurse Practitioner

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D1041777
LAB Type Practitioner Other
Facility Name SOUTH TOWN CLINIC PC
Street 1025 SOUTH PRESA
City SAN ANTONIO
State TX
ZIP 78210
Phone 210 228-9340
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2025
Certificate Expiration Date 6/12/2027
Facility Type Practitioner Other
Lab Director MARY G. CURLL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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