45D2267897 CLIA NUMBER - MEDBERRY HEALTH PLLC

Laboratory Demographics

  • CLIA Code: 45D2267897
  • Facility Name: MEDBERRY HEALTH PLLC
  • Facility Address: 4749 FREDERICKSBURG RD
    SAN ANTONIO, TX
    ZIP 78229
  • Facility Phone: (210) 997-8630
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LUKE B. BERRY
  • NPI Number: 1487301867
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 45D2267897
LAB Type Physician Office
Facility Name MEDBERRY HEALTH PLLC
Street 4749 FREDERICKSBURG RD
City SAN ANTONIO
State TX
ZIP 78229
Phone 2109978630
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Physician Office
Lab Director DR. LUKE B. BERRY

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This page was last updated on: 5/18/2026