45D2051418 CLIA NUMBER - SAGE MEDICINE

Laboratory Demographics

  • CLIA Code: 45D2051418
  • Facility Name: SAGE MEDICINE
  • Facility Address: 4315 MOONLIGHT WAY SUITE 102
    SAN ANTONIO, TX
    ZIP 78230
  • Facility Phone: 210 510-2141
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CARMEN F. CAWLEY
  • NPI Number: 1538414552
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2051418
LAB Type Physician Office
Facility Name SAGE MEDICINE
Street 4315 MOONLIGHT WAY SUITE 102
City SAN ANTONIO
State TX
ZIP 78230
Phone 210 510-2141
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/6/2024
Certificate Expiration Date 5/5/2026
Facility Type Physician Office
Lab Director CARMEN F. CAWLEY

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