45D1089597 CLIA NUMBER - HUEBNER PEDIATRICS PA

Laboratory Demographics

  • CLIA Code: 45D1089597
  • Facility Name: HUEBNER PEDIATRICS PA
  • Facility Address: 15714 HUEBNER ROAD BLDG 3
    SAN ANTONIO, TX
    ZIP 78248
  • Facility Phone: 210 447-3000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ADELNERY GONZALEZ
  • NPI Number: 1700207321
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D1089597
LAB Type Physician Office
Facility Name HUEBNER PEDIATRICS PA
Street 15714 HUEBNER ROAD BLDG 3
City SAN ANTONIO
State TX
ZIP 78248
Phone 210 447-3000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2024
Certificate Expiration Date 9/21/2026
Facility Type Physician Office
Lab Director ADELNERY GONZALEZ

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