45D2249968 CLIA NUMBER - GAB ENDOSCOPY CENTER LLC

Laboratory Demographics

  • CLIA Code: 45D2249968
  • Facility Name: GAB ENDOSCOPY CENTER LLC
  • Facility Address: 621 CAMDEN STREET #102
    SAN ANTONIO, TX
    ZIP 78215
  • Facility Phone: 210 253-3430
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JAN PRAZAK
  • NPI Number: 1700882271
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2249968
LAB Type Ambulatory Surgery Center
Facility Name GAB ENDOSCOPY CENTER LLC
Street 621 CAMDEN STREET #102
City SAN ANTONIO
State TX
ZIP 78215
Phone 210 253-3430
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2024
Certificate Expiration Date 1/23/2026
Facility Type Ambulatory Surgery Center
Lab Director JAN PRAZAK

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