45D0997650 CLIA NUMBER - METHODIST AMBULATORY SURGERY CENTER MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 45D0997650
  • Facility Name: METHODIST AMBULATORY SURGERY CENTER MEDICAL CENTER
  • Facility Address: 4411 MEDICAL DRIVE, SECOND FLOOR #200
    SAN ANTONIO, TX
    ZIP 78229
  • Facility Phone: 210 575-4584
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: KATHRYN HAMILTON MD
  • NPI Number: 1124218367
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 45D0997650
LAB Type Ambulatory Surgery Center
Facility Name METHODIST AMBULATORY SURGERY CENTER MEDICAL CENTER
Street 4411 MEDICAL DRIVE, SECOND FLOOR #200
City SAN ANTONIO
State TX
ZIP 78229
Phone 210 575-4584
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2025
Certificate Expiration Date 7/22/2027
Facility Type Ambulatory Surgery Center
Lab Director KATHRYN HAMILTON MD

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