45D2146171 CLIA NUMBER - MARK THORNTON MD

Laboratory Demographics

  • CLIA Code: 45D2146171
  • Facility Name: MARK THORNTON MD
  • Facility Address: 7720 JONES MALTSBERGER, SUITE 110
    SAN ANTONIO, TX
    ZIP 78216
  • Facility Phone: 210 822-2004
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK THORNTON
  • NPI Number: 1669552790
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2146171
LAB Type Physician Office
Facility Name MARK THORNTON MD
Street 7720 JONES MALTSBERGER, SUITE 110
City SAN ANTONIO
State TX
ZIP 78216
Phone 210 822-2004
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2024
Certificate Expiration Date 3/22/2026
Facility Type Physician Office
Lab Director MARK THORNTON

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