45D2270506 CLIA NUMBER - INNOVACARE TEXAS PHYSICIANS GROUP LLC DBA PAK MEDICAL

Laboratory Demographics

  • CLIA Code: 45D2270506
  • Facility Name: INNOVACARE TEXAS PHYSICIANS GROUP LLC DBA PAK MEDICAL
  • Facility Address: 1770 STATE HWY 46 WEST STE 1201
    NEW BRAUNFELS, TX
    ZIP 78132
  • Facility Phone: 407 819-7163
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RUPESH NIGRAM
  • NPI Number: 1164813820
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2270506
LAB Type Physician Office
Facility Name INNOVACARE TEXAS PHYSICIANS GROUP LLC DBA PAK MEDICAL
Street 1770 STATE HWY 46 WEST STE 1201
City NEW BRAUNFELS
State TX
ZIP 78132
Phone 407 819-7163
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2024
Certificate Expiration Date 10/16/2026
Facility Type Physician Office
Lab Director RUPESH NIGRAM

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