45D2179862 CLIA NUMBER - BHS PHYSICIAN NETWORK

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Field Name	Field Value
CLIA Number	45D2179862
LAB Type	Physician Office
Facility Name	BHS PHYSICIAN NETWORK
Street	926 BROOKLYN AVE
City	SAN ANTONIO
State	TX
ZIP	78215
Phone	210 297-2254
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	3/3/2024
Certificate Expiration Date	3/2/2026
Facility Type	Physician Office
Lab Director	MICHELLE GONZABA

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