45D2171894 CLIA NUMBER - LARINA V GUTENBERG DO PLLC

Laboratory Demographics

  • CLIA Code: 45D2171894
  • Facility Name: LARINA V GUTENBERG DO PLLC
  • Facility Address: 5522 LONE STAR PKWY BLDG 2 STE 101
    SAN ANTONIO, TX
    ZIP 78253
  • Facility Phone: 210 298-4900
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DAVID J. WELLS
  • NPI Number: 1194994681
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 45D2171894
LAB Type Physician Office
Facility Name LARINA V GUTENBERG DO PLLC
Street 5522 LONE STAR PKWY BLDG 2 STE 101
City SAN ANTONIO
State TX
ZIP 78253
Phone 210 298-4900
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 6/2/2025
Certificate Expiration Date 6/1/2027
Facility Type Physician Office
Lab Director DAVID J. WELLS

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