45D2128667 CLIA NUMBER - DAVID SALAZAR MD PA

Laboratory Demographics

  • CLIA Code: 45D2128667
  • Facility Name: DAVID SALAZAR MD PA
  • Facility Address: 1139 E SONTERRA BLVD STE 300
    SAN ANTONIO, TX
    ZIP 78258
  • Facility Phone: 210 499-0770
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID SALAZAR
  • NPI Number: 1104810910
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 45D2128667
LAB Type Pharmacy
Facility Name DAVID SALAZAR 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 4/4/2025
Certificate Expiration Date 4/3/2027
Facility Type Pharmacy
Lab Director DAVID SALAZAR

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