45D2161269 CLIA NUMBER - HILLSIDE PRIMARY CARE PLLC

Laboratory Demographics

  • CLIA Code: 45D2161269
  • Facility Name: HILLSIDE PRIMARY CARE PLLC
  • Facility Address: 26081 BULVERDE RD
    SAN ANTONIO, TX
    ZIP 78261
  • Facility Phone: 210 742-6555
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DERIN PATEL
  • NPI Number: 1104485549
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 45D2161269
LAB Type Physician Office
Facility Name HILLSIDE PRIMARY CARE PLLC
Street 26081 BULVERDE RD
City SAN ANTONIO
State TX
ZIP 78261
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 1/30/2025
Certificate Expiration Date 1/29/2027
Facility Type Physician Office
Lab Director DERIN PATEL

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