45D2167451 CLIA NUMBER - COASTAL ER IX, PHYSICIANS PREMIER

Laboratory Demographics

  • CLIA Code: 45D2167451
  • Facility Name: COASTAL ER IX, PHYSICIANS PREMIER
  • Facility Address: 580 CIBOLO VALLEY DRIVE
    CIBOLO, TX
    ZIP 78108
  • Facility Phone: 361 991-0912
  • Facility Type: Other - FREESTANDING
  • Facility Type: Accreditation
  • Lab Director: DR. CHRISTION G. RICE
  • NPI Number: 1124669262
  • Taxonomy: 261QE0002X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2167451
LAB Type Other - FREESTANDING
Facility Name COASTAL ER IX, PHYSICIANS PREMIER
Street 580 CIBOLO VALLEY DRIVE
City CIBOLO
State TX
ZIP 78108
Phone 361 991-0912
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type Other - FREESTANDING
Lab Director DR. CHRISTION G. RICE

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