45D2005361 CLIA NUMBER - BEAVER MEDICAL GROUP PLLC

Laboratory Demographics

  • CLIA Code: 45D2005361
  • Facility Name: BEAVER MEDICAL GROUP PLLC
  • Facility Address: 7541 US HWY 87 EAST STE 1
    SAN ANTONIO, TX
    ZIP 78263
  • Facility Phone: (210) 648-9900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GAIL L. BEAVER
  • NPI Number: 1093038648
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2005361
LAB Type Physician Office
Facility Name BEAVER MEDICAL GROUP PLLC
Street 7541 US HWY 87 EAST STE 1
City SAN ANTONIO
State TX
ZIP 78263
Phone 2106489900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2026
Certificate Expiration Date 3/24/2028
Facility Type Physician Office
Lab Director GAIL L. BEAVER

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This page was last updated on: 5/18/2026