45D2068866 CLIA NUMBER - HERITAGE PEDIATRICS, PLLC

Laboratory Demographics

  • CLIA Code: 45D2068866
  • Facility Name: HERITAGE PEDIATRICS, PLLC
  • Facility Address: 8031 BROADWAY
    SAN ANTONIO, TX
    ZIP 78209
  • Facility Phone: 210 804-2301
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSHUA TARDY
  • NPI Number: 1245589233
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2068866
LAB Type Physician Office
Facility Name HERITAGE PEDIATRICS, PLLC
Street 8031 BROADWAY
City SAN ANTONIO
State TX
ZIP 78209
Phone 210 804-2301
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2023
Certificate Expiration Date 11/12/2025
Facility Type Physician Office
Lab Director JOSHUA TARDY

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