45D2215813 CLIA NUMBER - WOUND EVOLUTION SAN ANTONIO

Laboratory Demographics

  • CLIA Code: 45D2215813
  • Facility Name: WOUND EVOLUTION SAN ANTONIO
  • Facility Address: 9150 HUEBNER ROAD, STE #120
    SAN ANTONIO, TX
    ZIP 78240
  • Facility Phone: 210 334-0012
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AUTUMN SAVAGE
  • NPI Number: 1720679038
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2215813
LAB Type Physician Office
Facility Name WOUND EVOLUTION SAN ANTONIO
Street 9150 HUEBNER ROAD, STE #120
City SAN ANTONIO
State TX
ZIP 78240
Phone 210 334-0012
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type Physician Office
Lab Director AUTUMN SAVAGE

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