45D2211494 CLIA NUMBER - PRIMARYLAB LLC

Laboratory Demographics

  • CLIA Code: 45D2211494
  • Facility Name: PRIMARYLAB LLC
  • Facility Address: 700 S ZARZAMORA STREET, STE 300
    SAN ANTONIO, TX
    ZIP 78207
  • Facility Phone: 210 706-0512
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: LAKESHA HAIRSTON
  • NPI Number: 1477143204
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 45D2211494
LAB Type Independent
Facility Name PRIMARYLAB LLC
Street 700 S ZARZAMORA STREET, STE 300
City SAN ANTONIO
State TX
ZIP 78207
Phone 210 706-0512
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2025
Certificate Expiration Date 1/27/2027
Facility Type Independent
Lab Director LAKESHA HAIRSTON

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