45D2128323 CLIA NUMBER - JENNIFER D BRODY MD PA

Laboratory Demographics

  • CLIA Code: 45D2128323
  • Facility Name: JENNIFER D BRODY MD PA
  • Facility Address: 1139 E SONTERRA BLVD STE 300
    SAN ANTONIO, TX
    ZIP 78258
  • Facility Phone: 210 499-0770
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER BRODY
  • NPI Number: 1588691802
  • Taxonomy: 133V00000X - Dietitian, Registered

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CLIA Record

Field Name Field Value
CLIA Number 45D2128323
LAB Type Physician Office
Facility Name JENNIFER D BRODY MD PA
Street 1139 E SONTERRA BLVD STE 300
City SAN ANTONIO
State TX
ZIP 78258
Phone 210 499-0770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2025
Certificate Expiration Date 3/27/2027
Facility Type Physician Office
Lab Director JENNIFER BRODY

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