45D2159038 CLIA NUMBER - HILLSIDE PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 45D2159038
  • Facility Name: HILLSIDE PRIMARY CARE
  • Facility Address: 12410 TOEPPERWEIN ROAD
    LIVE OAK, TX
    ZIP 78233
  • Facility Phone: 210 742-6555
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DERINBHAI PATEL
  • NPI Number: 1205349040
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2159038
LAB Type Physician Office
Facility Name HILLSIDE PRIMARY CARE
Street 12410 TOEPPERWEIN ROAD
City LIVE OAK
State TX
ZIP 78233
Phone 210 742-6555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2024
Certificate Expiration Date 12/10/2026
Facility Type Physician Office
Lab Director DERINBHAI PATEL

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