45D0992715 CLIA NUMBER - FOUR SEASONS OBGYN

Laboratory Demographics

  • CLIA Code: 45D0992715
  • Facility Name: FOUR SEASONS OBGYN
  • Facility Address: 8435 WURZBACH RD, STE 101
    SAN ANTONIO, TX
    ZIP 78229
  • Facility Phone: 210 593-0700
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KAREN HASTY
  • NPI Number: 1316127111
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 45D0992715
LAB Type Physician Office
Facility Name FOUR SEASONS OBGYN
Street 8435 WURZBACH RD, STE 101
City SAN ANTONIO
State TX
ZIP 78229
Phone 210 593-0700
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/24/2023
Certificate Expiration Date 10/23/2025
Facility Type Physician Office
Lab Director KAREN HASTY

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