45D2318682 CLIA NUMBER - MED SOUTHWEST PLLC

Laboratory Demographics

  • CLIA Code: 45D2318682
  • Facility Name: MED SOUTHWEST PLLC
  • Facility Address: 1929 STATE HWY 46 W STE 103
    NEW BRAUNFELS, TX
    ZIP 78132
  • Facility Phone: 703 847-8899
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH KAVANAGH
  • NPI Number: 1073158192
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 45D2318682
LAB Type Physician Office
Facility Name MED SOUTHWEST PLLC
Street 1929 STATE HWY 46 W STE 103
City NEW BRAUNFELS
State TX
ZIP 78132
Phone 703 847-8899
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2025
Certificate Expiration Date 2/13/2027
Facility Type Physician Office
Lab Director JOSEPH KAVANAGH

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