45D2297160 CLIA NUMBER - KIDNEY AND PRIMARY CARE OF TEXAS

Laboratory Demographics

  • CLIA Code: 45D2297160
  • Facility Name: KIDNEY AND PRIMARY CARE OF TEXAS
  • Facility Address: 3939 MEDICAL DR STE 110
    SAN ANTONIO, TX
    ZIP 78229
  • Facility Phone: 210 858-7604
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JULIO C. ARAUJO
  • NPI Number: 1689209157
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2297160
LAB Type Physician Office
Facility Name KIDNEY AND PRIMARY CARE OF TEXAS
Street 3939 MEDICAL DR STE 110
City SAN ANTONIO
State TX
ZIP 78229
Phone 210 858-7604
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2024
Certificate Expiration Date 1/10/2026
Facility Type Physician Office
Lab Director DR. JULIO C. ARAUJO

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This page was last updated on: 6/4/2025