45D0689179 CLIA NUMBER - ASCENSION SETON EDGAR B DAVIS- LAB/RT

Laboratory Demographics

  • CLIA Code: 45D0689179
  • Facility Name: ASCENSION SETON EDGAR B DAVIS- LAB/RT
  • Facility Address: 130 HAYS STREET
    LULING, TX
    ZIP 78648
  • Facility Phone: 830 875-5643
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: JOHN LEE SANG
  • NPI Number: 1215118609
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0689179
LAB Type Hospital
Facility Name ASCENSION SETON EDGAR B DAVIS- LAB/RT
Street 130 HAYS STREET
City LULING
State TX
ZIP 78648
Phone 830 875-5643
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Hospital
Lab Director JOHN LEE SANG

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