45D2132023 CLIA NUMBER - EMERGENCY CLINIC BY THE PEARL, THE

Laboratory Demographics

  • CLIA Code: 45D2132023
  • Facility Name: EMERGENCY CLINIC BY THE PEARL, THE
  • Facility Address: 2015 BROADWAY STREET
    SAN ANTONIO, TX
    ZIP 78215
  • Facility Phone: 210 961-4118
  • Facility Type: Other - FREESTANDING EMERGENCY RO
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. MICHAEL R. MAGOON
  • NPI Number: 1770093643
  • Taxonomy: 261QE0002X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2132023
LAB Type Other - FREESTANDING EMERGENCY RO
Facility Name EMERGENCY CLINIC BY THE PEARL, THE
Street 2015 BROADWAY STREET
City SAN ANTONIO
State TX
ZIP 78215
Phone 210 961-4118
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/26/2024
Certificate Expiration Date 7/25/2026
Facility Type Other - FREESTANDING EMERGENCY RO
Lab Director DR. MICHAEL R. MAGOON

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