45D2193560 CLIA NUMBER - GENESIS HEALTH AND WELLNESS CLINIC & SPA, PLLC

Laboratory Demographics

  • CLIA Code: 45D2193560
  • Facility Name: GENESIS HEALTH AND WELLNESS CLINIC & SPA, PLLC
  • Facility Address: 525 N SAM HOUSTON PKWY E, STE 255
    HOUSTON, TX
    ZIP 77060
  • Facility Phone: 832 672-4739
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANDRA NORRIS-DECKARD
  • NPI Number: 1992438717
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2193560
LAB Type Physician Office
Facility Name GENESIS HEALTH AND WELLNESS CLINIC & SPA, PLLC
Street 525 N SAM HOUSTON PKWY E, STE 255
City HOUSTON
State TX
ZIP 77060
Phone 832 672-4739
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2024
Certificate Expiration Date 9/21/2026
Facility Type Physician Office
Lab Director SANDRA NORRIS-DECKARD

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