45D2187621 CLIA NUMBER - ADVANCED DIAGNOSTIC LABORATORY

Laboratory Demographics

  • CLIA Code: 45D2187621
  • Facility Name: ADVANCED DIAGNOSTIC LABORATORY
  • Facility Address: 1077 CENTRAL PARKWAY S, #200
    SAN ANTONIO, TX
    ZIP 78232
  • Facility Phone: 210 982-4000
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: PAUL E. MORTON
  • NPI Number: 1871101808
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 45D2187621
LAB Type Independent
Facility Name ADVANCED DIAGNOSTIC LABORATORY
Street 1077 CENTRAL PARKWAY S, #200
City SAN ANTONIO
State TX
ZIP 78232
Phone 210 982-4000
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 3/15/2024
Certificate Expiration Date 3/14/2026
Facility Type Independent
Lab Director PAUL E. MORTON

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