45D2144291 CLIA NUMBER - STEPHEN M DENTLER, DO PA

Laboratory Demographics

  • CLIA Code: 45D2144291
  • Facility Name: STEPHEN M DENTLER, DO PA
  • Facility Address: 9410 NE ZAC LENTZ PWKY, SUITE 202
    VICTORIA, TX
    ZIP 77904
  • Facility Phone: 361 579-1333
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN M. DENTLER
  • NPI Number: 1154401065
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 45D2144291
LAB Type Physician Office
Facility Name STEPHEN M DENTLER, DO PA
Street 9410 NE ZAC LENTZ PWKY, SUITE 202
City VICTORIA
State TX
ZIP 77904
Phone 361 579-1333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2024
Certificate Expiration Date 2/13/2026
Facility Type Physician Office
Lab Director STEPHEN M. DENTLER

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