45D2084739 CLIA NUMBER - SOUTH TEXAS ANCILLARY SERVICES, LTD DBA GONZABA URGENT CARE CENTER NW

Laboratory Demographics

  • CLIA Code: 45D2084739
  • Facility Name: SOUTH TEXAS ANCILLARY SERVICES, LTD DBA GONZABA URGENT CARE CENTER NW
  • Facility Address: 7219 CULEBRA ROAD
    SAN ANTONIO, TX
    ZIP 78251
  • Facility Phone: 210 921-3800
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. WILLIAM T. GONZABA
  • NPI Number: 1841531464
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 45D2084739
LAB Type Physician Office
Facility Name SOUTH TEXAS ANCILLARY SERVICES, LTD DBA GONZABA URGENT CARE CENTER NW
Street 7219 CULEBRA ROAD
City SAN ANTONIO
State TX
ZIP 78251
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 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Physician Office
Lab Director DR. WILLIAM T. GONZABA

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