45D2077452 CLIA NUMBER - MARY BETH HARR, MD, PA

Laboratory Demographics

  • CLIA Code: 45D2077452
  • Facility Name: MARY BETH HARR, MD, PA
  • Facility Address: 5368 FREDERICKSBURG ROAD, BLDG C STE 201
    SAN ANTONIO, TX
    ZIP 78229
  • Facility Phone: 210 614-1112
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DR. MARY BETH HARR
  • NPI Number: 1528319746
  • Taxonomy: 146N00000X - Emergency Medical Technician, Basic

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CLIA Record

Field Name Field Value
CLIA Number 45D2077452
LAB Type Practitioner Other
Facility Name MARY BETH HARR, MD, PA
Street 5368 FREDERICKSBURG ROAD, BLDG C STE 201
City SAN ANTONIO
State TX
ZIP 78229
Phone 210 614-1112
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2024
Certificate Expiration Date 5/7/2026
Facility Type Practitioner Other
Lab Director DR. MARY BETH HARR

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