45D2027218 CLIA NUMBER - MICHAEL A SORACE MD MOHS MICROGRAPHIC AND SKIN SURGERY

Laboratory Demographics

  • CLIA Code: 45D2027218
  • Facility Name: MICHAEL A SORACE MD MOHS MICROGRAPHIC AND SKIN SURGERY
  • Facility Address: 745 W SAN ANTONIO AVENUE
    BOERNE, TX
    ZIP 78006
  • Facility Phone: 830 331-9000
  • Facility Type: Other - MOHS CLINIC
  • Facility Type: Certificate of Compliance
  • Lab Director: MICHAEL A SORACE
  • NPI Number: 1497766091
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 45D2027218
LAB Type Other - MOHS CLINIC
Facility Name MICHAEL A SORACE MD MOHS MICROGRAPHIC AND SKIN SURGERY
Street 745 W SAN ANTONIO AVENUE
City BOERNE
State TX
ZIP 78006
Phone 830 331-9000
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/1/2024
Certificate Expiration Date 7/31/2026
Facility Type Other - MOHS CLINIC
Lab Director MICHAEL A SORACE

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