45D2116443 CLIA NUMBER - IGENOMEDX INC

Laboratory Demographics

  • CLIA Code: 45D2116443
  • Facility Name: IGENOMEDX INC
  • Facility Address: 2040 BABCOCK ROAD, SUITE 201
    SAN ANTONIO, TX
    ZIP 78229
  • Facility Phone: 210 257-6973
  • Facility Type: Insurance
  • Facility Type: Accreditation
  • Lab Director: DR. QIAN CHENG
  • NPI Number: 1225488455
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 45D2116443
LAB Type Insurance
Facility Name IGENOMEDX INC
Street 2040 BABCOCK ROAD, SUITE 201
City SAN ANTONIO
State TX
ZIP 78229
Phone 210 257-6973
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 5/31/2025
Certificate Expiration Date 5/30/2027
Facility Type Insurance
Lab Director DR. QIAN CHENG

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