45D2005259 CLIA NUMBER - BOERNE OB/GYN PA

Laboratory Demographics

  • CLIA Code: 45D2005259
  • Facility Name: BOERNE OB/GYN PA
  • Facility Address: 134 MENGER SPRINGS SUITE 1360
    BOERNE, TX
    ZIP 78006
  • Facility Phone: 830 816-5222
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PAUL H. KOCAY
  • NPI Number: 1215267919
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2005259
LAB Type Physician Office
Facility Name BOERNE OB/GYN PA
Street 134 MENGER SPRINGS SUITE 1360
City BOERNE
State TX
ZIP 78006
Phone 830 816-5222
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/24/2024
Certificate Expiration Date 3/23/2026
Facility Type Physician Office
Lab Director PAUL H. KOCAY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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