CLIA Laboratory Demographic Information Report

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CLIA Number: 45D2155835
Certificate / Application Type Name and Address / CLIA Number Telephone # Certificate Expiration Date Lab Testing Performed In
Accreditation
INNOVATIVE GENOMICS, LLC
5410 FREDERICKSBURG ROAD, SUITE 304

SAN ANTONIO, TX 78229

#45D2155835
(210) 352-5175 2/12/2021 Independent