45D1044691 CLIA NUMBER - STEPHEN MILLER MD PA

Laboratory Demographics

  • CLIA Code: 45D1044691
  • Facility Name: STEPHEN MILLER MD PA
  • Facility Address: 16110 VIA SHAVANO
    SAN ANTONIO, TX
    ZIP 78249
  • Facility Phone: 210 615-7171
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: STEPHEN MILLER
  • NPI Number: 1760454060
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 45D1044691
LAB Type Physician Office
Facility Name STEPHEN MILLER MD PA
Street 16110 VIA SHAVANO
City SAN ANTONIO
State TX
ZIP 78249
Phone 210 615-7171
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 5/10/2023
Certificate Expiration Date 5/9/2025
Facility Type Physician Office
Lab Director STEPHEN MILLER

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This page was last updated on: 3/20/2025