45D1057190 CLIA NUMBER - KELLUM PHYSICIAN PARTNERS

Laboratory Demographics

  • CLIA Code: 45D1057190
  • Facility Name: KELLUM PHYSICIAN PARTNERS
  • Facility Address: 3701 ROY RICHARD DRIVE SUITE 101
    SCHERTZ, TX
    ZIP 78154
  • Facility Phone: 210 648-5308
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DANIEL H. KELLUM JR
  • NPI Number: 1073880092
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 45D1057190
LAB Type Physician Office
Facility Name KELLUM PHYSICIAN PARTNERS
Street 3701 ROY RICHARD DRIVE SUITE 101
City SCHERTZ
State TX
ZIP 78154
Phone 210 648-5308
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2024
Certificate Expiration Date 2/8/2026
Facility Type Physician Office
Lab Director DR. DANIEL H. KELLUM JR

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