45D2174815 CLIA NUMBER - VIVIAN W BUCAY MD PLLC

Laboratory Demographics

  • CLIA Code: 45D2174815
  • Facility Name: VIVIAN W BUCAY MD PLLC
  • Facility Address: 326 W CRAIG PLACE
    SAN ANTONIO, TX
    ZIP 78212
  • Facility Phone: 210 692-3000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VIVIAN BUCAY
  • NPI Number: 1285884759
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 45D2174815
LAB Type Physician Office
Facility Name VIVIAN W BUCAY MD PLLC
Street 326 W CRAIG PLACE
City SAN ANTONIO
State TX
ZIP 78212
Phone 210 692-3000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2023
Certificate Expiration Date 11/7/2025
Facility Type Physician Office
Lab Director VIVIAN BUCAY

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