45D1056243 CLIA NUMBER - CTC PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 45D1056243
  • Facility Name: CTC PRIMARY CARE
  • Facility Address: 1320 WONDER WORLD DR STE 101
    SAN MARCOS, TX
    ZIP 78666
  • Facility Phone: 512 396-3911
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. NICOLE RIOJAS
  • NPI Number: 1104024280
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1056243
LAB Type Physician Office
Facility Name CTC PRIMARY CARE
Street 1320 WONDER WORLD DR STE 101
City SAN MARCOS
State TX
ZIP 78666
Phone 512 396-3911
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2024
Certificate Expiration Date 2/28/2026
Facility Type Physician Office
Lab Director DR. NICOLE RIOJAS

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This page was last updated on: 6/4/2025