45D2103474 CLIA NUMBER - COMPREHENSIVE PRIMARY CARE GROUP INC

Laboratory Demographics

  • CLIA Code: 45D2103474
  • Facility Name: COMPREHENSIVE PRIMARY CARE GROUP INC
  • Facility Address: 22250 BULVERDE ROAD, SUITE 111
    SAN ANTONIO, TX
    ZIP 78261
  • Facility Phone: 210 899-4490
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OBINNA UZOWULU
  • NPI Number: 1114311636
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2103474
LAB Type Physician Office
Facility Name COMPREHENSIVE PRIMARY CARE GROUP INC
Street 22250 BULVERDE ROAD, SUITE 111
City SAN ANTONIO
State TX
ZIP 78261
Phone 210 899-4490
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2023
Certificate Expiration Date 10/12/2025
Facility Type Physician Office
Lab Director OBINNA UZOWULU

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