45D2088661 CLIA NUMBER - TEXAS MEDCLINIC SW

Laboratory Demographics

  • CLIA Code: 45D2088661
  • Facility Name: TEXAS MEDCLINIC SW
  • Facility Address: 2530 SW MILITARY DRIVE
    SAN ANTONIO, TX
    ZIP 78224
  • Facility Phone: 210 476-5599
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JAMES BUGG III
  • NPI Number: 1831554633
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2088661
LAB Type Physician Office
Facility Name TEXAS MEDCLINIC SW
Street 2530 SW MILITARY DRIVE
City SAN ANTONIO
State TX
ZIP 78224
Phone 210 476-5599
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 12/16/2024
Certificate Expiration Date 12/15/2026
Facility Type Physician Office
Lab Director JAMES BUGG III

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