45D1056990 CLIA NUMBER - CHRISTUS SANTA ROSA PHYSICIANS AMBULATORY SURGERY CENTER - STONE OAK

Laboratory Demographics

  • CLIA Code: 45D1056990
  • Facility Name: CHRISTUS SANTA ROSA PHYSICIANS AMBULATORY SURGERY CENTER - STONE OAK
  • Facility Address: 502 MADISON OAK DRIVE SUITE 500
    SAN ANTONIO, TX
    ZIP 78258
  • Facility Phone: 210 499-6700
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: FELIPE A. GONZALES
  • NPI Number: 1164448486
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1056990
LAB Type Ambulatory Surgery Center
Facility Name CHRISTUS SANTA ROSA PHYSICIANS AMBULATORY SURGERY CENTER - STONE OAK
Street 502 MADISON OAK DRIVE SUITE 500
City SAN ANTONIO
State TX
ZIP 78258
Phone 210 499-6700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2024
Certificate Expiration Date 7/30/2026
Facility Type Ambulatory Surgery Center
Lab Director FELIPE A. GONZALES

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