Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PRIMARYLAB LLC
NPI 1477143204
Clinical Medical Laboratory in San Antonio, TX

Active since January 26, 2021CLIA 45D2211494 · Waiver
11503 JONES MALTSBERGER RD STE 1105, SAN ANTONIO, TX 78216(210) 706-0512 Get Directions Write a Review

NPPES record last updated: August 28, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Aug 28, 2026, Feb 19, 2021, Jan 26, 2021 (3 updates tracked since 2021).

About Primarylab Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIMARYLAB LLC (NPI 1477143204) is a healthcare organization registered as a clinical medical laboratory in San Antonio, Texas and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through January 27, 2027 and lists Lakesha Hairston, Owner/executive Administrator, as its authorized official.

NPPES Registry Identity

NPI1477143204
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NamePRIMARYLAB LLC
Location Address11503 JONES MALTSBERGER RD STE 1105San Antonio, TX 78216-2630
Mailing AddressPo Box 690443San Antonio, TX 78269-0443 · (210) 706-0512
Organization SubpartNo
Authorized OfficialLakesha HairstonOwner/executive Administrator · (210) 706-0512
Enumeration DateJanuary 26, 2021
Last NPPES UpdateAugust 28, 20263 updates tracked since enumeration
NPPES CertifiedAugust 28, 2026
✔ NPI 1477143204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Also ListedNursing CareTaxonomy 251J00000X
11503 JONES MALTSBERGER RD STE 1105, San Antonio, TX 78216

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2211494

Primarylab LLC · San Antonio, TX
Active · expires Jan 27, 2027
CLIA Number45D2211494
Laboratory TypeIndependent
Certificate Effective DateJanuary 28, 2025
Certificate Expiration DateJanuary 27, 2027
Laboratory DirectorLakesha Hairston
Laboratory Phone(210) 706-0512
Laboratory LocationPrimarylab LLC11503 Jones Maltsberger Road, Suite 1105, San Antonio, TX 78216
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Multi-Specialty)
11503 JONES MALTSBERGER RD STE 1105
SAN ANTONIO, TX 78216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Primarylab LLC's NPI number?

The NPI number for Primarylab LLC is 1477143204. It was assigned to this organization in the NPPES registry on January 26, 2021.

Where is Primarylab LLC located?

Primarylab LLC is located at 11503 Jones Maltsberger Rd Ste 1105, San Antonio, TX 78216. The listed phone number is (210) 706-0512.

What is Primarylab LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Primarylab LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2211494) is associated with this NPI, valid through January 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Primarylab LLC was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.