45D2084711 CLIA NUMBER - SOUTH TEXAS ANCILLARY SERVICES GONZABA URGENT CARE CENTER MAIN

Laboratory Demographics

  • CLIA Code: 45D2084711
  • Facility Name: SOUTH TEXAS ANCILLARY SERVICES GONZABA URGENT CARE CENTER MAIN
  • Facility Address: 711 PLEASANTON ROAD GONZABA MEDICAL GROUP
    SAN ANTONIO, TX
    ZIP 78214
  • Facility Phone: 210 921-3800
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. WILLIAM T. GONZABA
  • NPI Number: 1063670289
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2084711
LAB Type Physician Office
Facility Name SOUTH TEXAS ANCILLARY SERVICES GONZABA URGENT CARE CENTER MAIN
Street 711 PLEASANTON ROAD GONZABA MEDICAL GROUP
City SAN ANTONIO
State TX
ZIP 78214
Phone 210 921-3800
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 7/14/2025
Certificate Expiration Date 7/13/2027
Facility Type Physician Office
Lab Director DR. WILLIAM T. GONZABA

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