45D2187040 CLIA NUMBER - ADAM BRUGGEMAN MD PLLC

Laboratory Demographics

  • CLIA Code: 45D2187040
  • Facility Name: ADAM BRUGGEMAN MD PLLC
  • Facility Address: 3619 PAESANOS PARKWAY, SUITE 302
    SAN ANTONIO, TX
    ZIP 78231
  • Facility Phone: 210 802-4662
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ADAM J BRUGGEMAN
  • NPI Number: 1316160625
  • Taxonomy: 207XS0117X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 45D2187040
LAB Type Physician Office
Facility Name ADAM BRUGGEMAN MD PLLC
Street 3619 PAESANOS PARKWAY, SUITE 302
City SAN ANTONIO
State TX
ZIP 78231
Phone 210 802-4662
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Physician Office
Lab Director ADAM J BRUGGEMAN

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