45D0883066 CLIA NUMBER - UNIVERSITY HEALTH - SOUTHEAST

Laboratory Demographics

  • CLIA Code: 45D0883066
  • Facility Name: UNIVERSITY HEALTH - SOUTHEAST
  • Facility Address: 1055 ADA STREET
    SAN ANTONIO, TX
    ZIP 78223
  • Facility Phone: 210 531-5511
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: DR. RUSSELL A. HIGGINS
  • NPI Number: 1164533816
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D0883066
LAB Type Community Clinic
Facility Name UNIVERSITY HEALTH - SOUTHEAST
Street 1055 ADA STREET
City SAN ANTONIO
State TX
ZIP 78223
Phone 210 531-5511
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 3/15/2025
Certificate Expiration Date 3/14/2027
Facility Type Community Clinic
Lab Director DR. RUSSELL A. HIGGINS

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