45D2318436 CLIA NUMBER - RA RODRIGUEZ DENTAL, PLLC

Laboratory Demographics

  • CLIA Code: 45D2318436
  • Facility Name: RA RODRIGUEZ DENTAL, PLLC
  • Facility Address: 14310 NORTHBROOK DR. STE 150
    SAN ANTONIO, TX
    ZIP 78232
  • Facility Phone: 210 495-5588
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: RYAN A. RODRIGUEZ
  • NPI Number: 1285466771
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 45D2318436
LAB Type Practitioner Other
Facility Name RA RODRIGUEZ DENTAL, PLLC
Street 14310 NORTHBROOK DR. STE 150
City SAN ANTONIO
State TX
ZIP 78232
Phone 210 495-5588
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2025
Certificate Expiration Date 2/10/2027
Facility Type Practitioner Other
Lab Director RYAN A. RODRIGUEZ

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