45D2238850 CLIA NUMBER - MISSION SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 45D2238850
  • Facility Name: MISSION SURGERY CENTER, LLC
  • Facility Address: 603 E AMBER STREET, SUITE 103
    SAN ANTONIO, TX
    ZIP 78221
  • Facility Phone: 210 259-5836
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: LYSSA OCHOA
  • NPI Number: 1194323725
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2238850
LAB Type Ambulatory Surgery Center
Facility Name MISSION SURGERY CENTER, LLC
Street 603 E AMBER STREET, SUITE 103
City SAN ANTONIO
State TX
ZIP 78221
Phone 210 259-5836
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2025
Certificate Expiration Date 10/5/2027
Facility Type Ambulatory Surgery Center
Lab Director LYSSA OCHOA

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