45D2025943 CLIA NUMBER - MARK A RODRIGUEZ, MD, PA

Laboratory Demographics

  • CLIA Code: 45D2025943
  • Facility Name: MARK A RODRIGUEZ, MD, PA
  • Facility Address: 12602 TOEPPERWEIN ROAD, STE 201
    SAN ANTONIO, TX
    ZIP 78233
  • Facility Phone: 210 646-0404
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARK A. RODRIGUEZ
  • NPI Number: 1982708111
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2025943
LAB Type Physician Office
Facility Name MARK A RODRIGUEZ, MD, PA
Street 12602 TOEPPERWEIN ROAD, STE 201
City SAN ANTONIO
State TX
ZIP 78233
Phone 210 646-0404
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 6/21/2025
Certificate Expiration Date 6/20/2027
Facility Type Physician Office
Lab Director MARK A. RODRIGUEZ

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