45D2058063 CLIA NUMBER - TEXAS MEDCLINIC - CULEBRA

Laboratory Demographics

  • CLIA Code: 45D2058063
  • Facility Name: TEXAS MEDCLINIC - CULEBRA
  • Facility Address: 6530 W LOOP 1604 N
    SAN ANTONIO, TX
    ZIP 78254
  • Facility Phone: 210 476-5577
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JAMES BUGG III MD
  • NPI Number: 1922463728
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2058063
LAB Type Physician Office
Facility Name TEXAS MEDCLINIC - CULEBRA
Street 6530 W LOOP 1604 N
City SAN ANTONIO
State TX
ZIP 78254
Phone 210 476-5577
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 4/29/2025
Certificate Expiration Date 4/28/2027
Facility Type Physician Office
Lab Director JAMES BUGG III MD

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