45D2019974 CLIA NUMBER - JOHN M TIEMAN, MD PA

Laboratory Demographics

  • CLIA Code: 45D2019974
  • Facility Name: JOHN M TIEMAN, MD PA
  • Facility Address: 1584 E COMMON ST
    NEW BRAUNFELS, TX
    ZIP 78130
  • Facility Phone: 830 609-4700
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOHN M. TIEMAN
  • NPI Number: 1114089844
  • Taxonomy: 207N00000X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2019974
LAB Type Physician Office
Facility Name JOHN M TIEMAN, MD PA
Street 1584 E COMMON ST
City NEW BRAUNFELS
State TX
ZIP 78130
Phone 830 609-4700
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 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Physician Office
Lab Director JOHN M. TIEMAN

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