45D2046161 CLIA NUMBER - RENEE L CEVEY MD PA

Laboratory Demographics

  • CLIA Code: 45D2046161
  • Facility Name: RENEE L CEVEY MD PA
  • Facility Address: 414 W SUNSET SUITE 105
    SAN ANTONIO, TX
    ZIP 78209
  • Facility Phone: 210 826-0311
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RENEE L. CEVEY
  • NPI Number: 1770561458
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2046161
LAB Type Physician Office
Facility Name RENEE L CEVEY MD PA
Street 414 W SUNSET SUITE 105
City SAN ANTONIO
State TX
ZIP 78209
Phone 210 826-0311
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2024
Certificate Expiration Date 8/27/2026
Facility Type Physician Office
Lab Director RENEE L. CEVEY

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