45D1075646 CLIA NUMBER - LOPEZ FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 45D1075646
  • Facility Name: LOPEZ FAMILY PRACTICE
  • Facility Address: 601 LABOR ST
    SAN ANTONIO, TX
    ZIP 78210
  • Facility Phone: 210 921-6088
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JESUS A. LOPEZ
  • NPI Number: 1932398690
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1075646
LAB Type Physician Office
Facility Name LOPEZ FAMILY PRACTICE
Street 601 LABOR ST
City SAN ANTONIO
State TX
ZIP 78210
Phone 210 921-6088
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2023
Certificate Expiration Date 10/24/2025
Facility Type Physician Office
Lab Director JESUS A. LOPEZ

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