45D1104275 CLIA NUMBER - CENTROMED FAMILY FIRST

Laboratory Demographics

  • CLIA Code: 45D1104275
  • Facility Name: CENTROMED FAMILY FIRST
  • Facility Address: 9135 SCHAEFER ROAD, STE 4
    CONVERSE, TX
    ZIP 78109
  • Facility Phone: 210 977-1903
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: NORMA G. PARRA MD
  • NPI Number: 1437635596
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1104275
LAB Type Federally Qualified Health Center
Facility Name CENTROMED FAMILY FIRST
Street 9135 SCHAEFER ROAD, STE 4
City CONVERSE
State TX
ZIP 78109
Phone 210 977-1903
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type Federally Qualified Health Center
Lab Director NORMA G. PARRA MD

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