45D2181056 CLIA NUMBER - TRICITY PAIN ASSOCIATES, PA

Laboratory Demographics

  • CLIA Code: 45D2181056
  • Facility Name: TRICITY PAIN ASSOCIATES, PA
  • Facility Address: 18707 HARDY OAK, SUITE 230
    SAN ANTONIO, TX
    ZIP 78258
  • Facility Phone: 210 777-0150
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSHUA SHROLL
  • NPI Number: 1508498072
  • Taxonomy: 2085R0204X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 45D2181056
LAB Type Physician Office
Facility Name TRICITY PAIN ASSOCIATES, PA
Street 18707 HARDY OAK, SUITE 230
City SAN ANTONIO
State TX
ZIP 78258
Phone 210 777-0150
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2024
Certificate Expiration Date 3/24/2026
Facility Type Physician Office
Lab Director JOSHUA SHROLL

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