45D1061134 CLIA NUMBER - STONE OAK URGENT CARE CENTER

Laboratory Demographics

  • CLIA Code: 45D1061134
  • Facility Name: STONE OAK URGENT CARE CENTER
  • Facility Address: 104 GALLERY CIRCLE #114
    SAN ANTONIO, TX
    ZIP 78258
  • Facility Phone: 210 715-1062
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: GOGU R. SUDHIR
  • NPI Number: 1285276543
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 45D1061134
LAB Type Community Clinic
Facility Name STONE OAK URGENT CARE CENTER
Street 104 GALLERY CIRCLE #114
City SAN ANTONIO
State TX
ZIP 78258
Phone 210 715-1062
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2024
Certificate Expiration Date 11/8/2026
Facility Type Community Clinic
Lab Director GOGU R. SUDHIR

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