45D2088838 CLIA NUMBER - ULTRAVISION

Laboratory Demographics

  • CLIA Code: 45D2088838
  • Facility Name: ULTRAVISION
  • Facility Address: 6818 HEUERMANN
    SAN ANTONIO, TX
    ZIP 78256
  • Facility Phone: 210 308-5550
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TOMY STARCK
  • NPI Number: 1578742391
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 45D2088838
LAB Type Physician Office
Facility Name ULTRAVISION
Street 6818 HEUERMANN
City SAN ANTONIO
State TX
ZIP 78256
Phone 210 308-5550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2024
Certificate Expiration Date 12/16/2026
Facility Type Physician Office
Lab Director TOMY STARCK

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