45D2243401 CLIA NUMBER - TEXAS MEDCLINIC - DC

Laboratory Demographics

  • CLIA Code: 45D2243401
  • Facility Name: TEXAS MEDCLINIC - DC
  • Facility Address: 335 W LOOP 1604 SOUTH
    SAN ANTONIO, TX
    ZIP 78245
  • Facility Phone: 210 349-5577
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JAMES BUGG III
  • NPI Number: 1669837464
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2243401
LAB Type Physician Office
Facility Name TEXAS MEDCLINIC - DC
Street 335 W LOOP 1604 SOUTH
City SAN ANTONIO
State TX
ZIP 78245
Phone 210 349-5577
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/18/2023
Certificate Expiration Date 11/17/2025
Facility Type Physician Office
Lab Director JAMES BUGG III

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