45D2094567 CLIA NUMBER - PRIMWAY MEDICAL PLLC

Laboratory Demographics

  • CLIA Code: 45D2094567
  • Facility Name: PRIMWAY MEDICAL PLLC
  • Facility Address: 11345 ALAMO RANCH PKWY, SUITE 202
    SAN ANTONIO, TX
    ZIP 78253
  • Facility Phone: 830 632-7926
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ADENIYI IGUN
  • NPI Number: 1699163923
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2094567
LAB Type Physician Office
Facility Name PRIMWAY MEDICAL PLLC
Street 11345 ALAMO RANCH PKWY, SUITE 202
City SAN ANTONIO
State TX
ZIP 78253
Phone 830 632-7926
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2025
Certificate Expiration Date 4/20/2027
Facility Type Physician Office
Lab Director ADENIYI IGUN

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