45D2149513 CLIA NUMBER - GMG HEALTH SYSTEMS, LTD DBA GONZABA MEDICAL GROUP NORTHWEST

Laboratory Demographics

  • CLIA Code: 45D2149513
  • Facility Name: GMG HEALTH SYSTEMS, LTD DBA GONZABA MEDICAL GROUP NORTHWEST
  • Facility Address: 7219 CULEBRA ROAD
    SAN ANTONIO, TX
    ZIP 78214
  • Facility Phone: 210 509-2603
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. MELISSA MARTINEZ DIAZ
  • NPI Number: 1053684761
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2149513
LAB Type Physician Office
Facility Name GMG HEALTH SYSTEMS, LTD DBA GONZABA MEDICAL GROUP NORTHWEST
Street 7219 CULEBRA ROAD
City SAN ANTONIO
State TX
ZIP 78214
Phone 210 509-2603
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. MELISSA MARTINEZ DIAZ

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