45D2203905 CLIA NUMBER - UROGYNECOLOGY OF SAN ANTONO, PLLC

Laboratory Demographics

  • CLIA Code: 45D2203905
  • Facility Name: UROGYNECOLOGY OF SAN ANTONO, PLLC
  • Facility Address: 335 E SONTERRA BLVD SUITE 170
    SAN ANTONIO, TX
    ZIP 78258
  • Facility Phone: 210 614-7744
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ASH DABBOUS
  • NPI Number: 1134775018
  • Taxonomy: 207VF0040X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 45D2203905
LAB Type Physician Office
Facility Name UROGYNECOLOGY OF SAN ANTONO, PLLC
Street 335 E SONTERRA BLVD SUITE 170
City SAN ANTONIO
State TX
ZIP 78258
Phone 210 614-7744
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2024
Certificate Expiration Date 12/6/2026
Facility Type Physician Office
Lab Director ASH DABBOUS

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This page was last updated on: 3/20/2025