45D2292029 CLIA NUMBER - STONE RIVER RECOVERY CENTER

Laboratory Demographics

  • CLIA Code: 45D2292029
  • Facility Name: STONE RIVER RECOVERY CENTER
  • Facility Address: 8627 LAKESIDE PARKWAY
    SAN ANTONIO, TX
    ZIP 78245
  • Facility Phone: 888 235-3003
  • Facility Type: Other - SUBSTANCE ABUSE TREATMENT
  • Facility Type: Waiver
  • Lab Director: JUSTIN SANDERSON
  • NPI Number: 1578245205
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2292029
LAB Type Other - SUBSTANCE ABUSE TREATMENT
Facility Name STONE RIVER RECOVERY CENTER
Street 8627 LAKESIDE PARKWAY
City SAN ANTONIO
State TX
ZIP 78245
Phone 888 235-3003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2025
Certificate Expiration Date 10/18/2027
Facility Type Other - SUBSTANCE ABUSE TREATMENT
Lab Director JUSTIN SANDERSON

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