45D1076577 CLIA NUMBER - EAR MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 45D1076577
  • Facility Name: EAR MEDICAL GROUP
  • Facility Address: 21 SPURS LANE #245 ATTN SUSAN KING
    SAN ANTONIO, TX
    ZIP 78240
  • Facility Phone: 210 614-6070
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUSAN KING
  • NPI Number: 1164533246
  • Taxonomy: 207YX0901X - Otolaryngology

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CLIA Record

Field Name Field Value
CLIA Number 45D1076577
LAB Type Physician Office
Facility Name EAR MEDICAL GROUP
Street 21 SPURS LANE #245 ATTN SUSAN KING
City SAN ANTONIO
State TX
ZIP 78240
Phone 210 614-6070
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2023
Certificate Expiration Date 11/15/2025
Facility Type Physician Office
Lab Director SUSAN KING

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