45D2313675 CLIA NUMBER - GENESIS BEHAVIORAL HEALTH

Laboratory Demographics

  • CLIA Code: 45D2313675
  • Facility Name: GENESIS BEHAVIORAL HEALTH
  • Facility Address: 712 STONEWALL HILL
    SAN ANTONIO, TX
    ZIP 78256
  • Facility Phone: 210 404-9696
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. EDMUND P. WILLIAMS
  • NPI Number: 1518190859
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 45D2313675
LAB Type Physician Office
Facility Name GENESIS BEHAVIORAL HEALTH
Street 712 STONEWALL HILL
City SAN ANTONIO
State TX
ZIP 78256
Phone 210 404-9696
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Physician Office
Lab Director DR. EDMUND P. WILLIAMS

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