45D1022122 CLIA NUMBER - THEDA OAKS ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 45D1022122
  • Facility Name: THEDA OAKS ENDOSCOPY CENTER
  • Facility Address: 19226 STONE HUE SUITE 103
    SAN ANTONIO, TX
    ZIP 78258
  • Facility Phone: 210 268-0100
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SEEMA DAR
  • NPI Number: 1386657047
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1022122
LAB Type Ambulatory Surgery Center
Facility Name THEDA OAKS ENDOSCOPY CENTER
Street 19226 STONE HUE SUITE 103
City SAN ANTONIO
State TX
ZIP 78258
Phone 210 268-0100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2024
Certificate Expiration Date 2/8/2026
Facility Type Ambulatory Surgery Center
Lab Director SEEMA DAR

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