45D2294387 CLIA NUMBER - CLINICA HISPANA GENESIS

Laboratory Demographics

  • CLIA Code: 45D2294387
  • Facility Name: CLINICA HISPANA GENESIS
  • Facility Address: 2755 GESSNER RD SUITE S
    HOUSTON, TX
    ZIP 77080
  • Facility Phone: 832 554-0050
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LIENA HERNANDEZ BENITEZ
  • NPI Number: 1649091372
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2294387
LAB Type Physician Office
Facility Name CLINICA HISPANA GENESIS
Street 2755 GESSNER RD SUITE S
City HOUSTON
State TX
ZIP 77080
Phone 832 554-0050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/22/2023
Certificate Expiration Date 11/21/2025
Facility Type Physician Office
Lab Director LIENA HERNANDEZ BENITEZ

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