45D2301222 CLIA NUMBER - METHODIST PHYSICIAN PRACTICES PLLC

Laboratory Demographics

  • CLIA Code: 45D2301222
  • Facility Name: METHODIST PHYSICIAN PRACTICES PLLC
  • Facility Address: 4499 MEDICAL DRIVE, STE 201
    SAN ANTONIO, TX
    ZIP 78229
  • Facility Phone: 210 874-3326
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN PAREDES
  • NPI Number: 1275582504
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2301222
LAB Type Physician Office
Facility Name METHODIST PHYSICIAN PRACTICES PLLC
Street 4499 MEDICAL DRIVE, STE 201
City SAN ANTONIO
State TX
ZIP 78229
Phone 210 874-3326
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2024
Certificate Expiration Date 3/21/2026
Facility Type Physician Office
Lab Director JOHN PAREDES

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