San Antonio Department of Health 2026: Services & Phone

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Independent public-health guide: Department-of-Health.org is not San Antonio Metro Health, the City of San Antonio, Bexar County, Texas DSHS, Texas WIC or a medical provider. Use this guide to identify the correct official service, then submit appointments, medical information, payments, permit documents and record requests only through the responsible official agency.
San Antonio, Texas public-health guide · 2026

San Antonio Metro Health phone numbers, WIC, vaccines, STI care and city health services

People often search for the “San Antonio Health Department,” but the official agency is the City of San Antonio Metropolitan Health District, commonly called Metro Health. It serves San Antonio and Bexar County through separate clinics, WIC offices, disease-control programs and environmental-health services.

The administrative office at City Tower is not the place for every public-health task. Vaccines, STI testing, TB care, food permits, WIC and birth certificates each use different locations. This guide routes you to the right counter before you drive across town.

Metro Health: 210-207-8780 Immunizations WIC clinics STI/HIV TB Clinic Food permits
Administrative office City Tower 100 W. Houston St., 14th Floor, San Antonio, TX 78205.
Admin hours Mon–Fri · 7:45–4:30 Clinic and permit-office schedules differ.
City customer service 311 / 210-207-6000 General City of San Antonio routing.
Disease reporting 210-207-8876 Available 24 hours / 7 days a week.
Quick answer

What does the San Antonio Metropolitan Health District handle?

Metro Health is the City of San Antonio’s public-health agency. It manages immunization services, STI/HIV programs, tuberculosis control, WIC and maternal-child health programs, laboratory and communicable-disease activities, food establishment permitting and inspections, public-health education and community health initiatives.

Need clinical public health?

Use Metro Health’s specialized Immunization, STI/HIV or Tuberculosis clinics rather than the administrative City Tower office.

Need nutrition or family support?

Metro Health operates numerous WIC clinics plus Healthy Start, lactation, children’s asthma and other maternal/child programs.

Opening a food business?

Food licenses and related Metro Health permitting are handled through the City’s One Stop center at 1901 S. Alamo St.

Birth certificates use a different city department San Antonio’s local registrar is the Office of the City Clerk, not Metro Health. Birth and death record requests go to the Municipal Archives & Records Center at 719 S. Santa Rosa.
Service locations

Which San Antonio health office should you visit?

Office Address / phone Use it for
Metro Health Administration City Tower, 100 W. Houston St., 14th Floor
210-207-8780
Administrative Metro Health matters and general department routing.
Immunization Clinic 210 N. Mel Waiters Way
210-207-8790
Adult/child vaccines and Metro Health immunization-record copies.
STI Walk-In Clinic 512 E. Highland, Suite 150
210-207-8830
STI screening, testing and treatment services.
Tuberculosis Clinic 2303 SE Military Dr., Bldg. 528
210-207-8823
TB testing, examination, treatment, contact investigation and DOT/DOPT.
Food Permits & Licenses 1901 S. Alamo St.
210-207-0135
Food establishment licenses, permitting and related health inspection matters.
WIC Administration 2322 Buena Vista
210-207-4650
WIC administration; client appointments usually use neighborhood WIC clinics.
City Clerk Vital Records 719 S. Santa Rosa
311 / 210-207-6000
Bexar County birth/death certificates and local vital-record services.
Phone directory

San Antonio Metro Health phone numbers by service

Service Phone Best use
Metro Health main 210-207-8780 General Metro Health administrative routing.
City customer service 210-207-6000 / 311 City service navigation when you are unsure which department owns a task.
Immunization Clinic 210-207-8790 Vaccines, appointments and Metro Health immunization records.
STI Clinic 210-207-8830 STI clinic services and walk-in information.
STI/HIV counseling 210-207-2816 STI/HIV counseling and related information.
TB Clinic 210-207-8823 TB testing, treatment, referrals, exposure and case-management questions.
Reportable disease line 210-207-8876 24/7 reporting of reportable diseases other than specialized STI/TB reporting routes.
WIC administration 210-207-4650 Metro Health WIC administrative questions.
Food permits 210-207-0135 Food establishment licenses, permit fees and inspection-related business questions.
Healthy Start 210-207-4725 Pregnancy, parenting, infant health and eligible home-visiting services.
WIC

San Antonio WIC clinics, benefits and eligibility

Metro Health’s Women, Infants & Children program provides nutrition counseling, food benefits, breastfeeding support and healthcare referrals for eligible pregnant, postpartum and breastfeeding participants, infants and children younger than five.

Who may qualify?

Texas WIC serves eligible pregnant, postpartum and breastfeeding participants, plus parents, step-parents, guardians or foster parents caring for children under age five who meet household-income requirements.

What WIC provides

Benefits include selected nutritious foods, breastfeeding support, nutrition education, counseling and referrals to healthcare or other community resources.

Choose a neighborhood clinic

San Antonio has multiple WIC locations with evening hours on different weekdays and selected Saturday appointments.

San Antonio WIC clinic directory

Clinic Address Phone
Buena Vista WIC 2315 Buena Vista, San Antonio, TX 78207 210-207-4906
Callaghan WIC 4412 Callaghan Rd., San Antonio, TX 78228 210-207-4694
Grissom WIC 9179 Grissom Rd., Suite 147, San Antonio, TX 78251 210-207-4754
Marbach WIC 7452 Military Dr. West, San Antonio, TX 78227 210-207-4690
Naco-Perrin WIC 4020 Naco-Perrin, San Antonio, TX 78217 210-207-4742
Pecan Valley WIC 802 Pecan Valley, San Antonio, TX 78220 210-207-4715
Rittiman WIC 4343 Rittiman Rd., San Antonio, TX 78218 210-207-4750
Salinas WIC 630 S. General McMullen, San Antonio, TX 78237 210-207-4700
South Flores WIC 6723 S. Flores, #106, San Antonio, TX 78221 210-207-4555
Zarzamora WIC 4503 S. Zarzamora, San Antonio, TX 78211 210-207-4720
Evening and Saturday hours vary WIC clinics generally open at 7:45 a.m., with one extended evening at many locations and selected monthly Saturday sessions. Most locations close the first Friday of the month for training. Check the current clinic page before traveling.

Open official WIC clinic directory

Immunizations

Vaccines and immunization records at Metro Health

Metro Health’s Immunization Clinic is at 210 N. Mel Waiters Way. Vaccines are currently available by appointment only; call 210-207-8790.

Clinic hours

Monday-Friday from 8:00 a.m. to 3:00 p.m. The clinic closes for lunch from noon to 1:00 p.m.

Children and adults

Metro Health provides vaccines to adults and children. Eligibility for reduced-cost programs and the amount due depend on vaccine, age and program status.

Record-only requests

A standalone Metro Health immunization-record copy currently costs $5. A record is provided without that copy fee when an immunization is administered.

Examples of current posted vaccine prices

Vaccine Current posted price
Hepatitis A$64.31
Hepatitis A/B combination$130.12
Hepatitis B$66.30
HPV9$288.53
MMR$96.11
Tdap$34.68
Varicella$171.70
Need an old shot record? Try the provider that administered the vaccine, the last school attended or Texas ImmTrac2 first. Metro Health can help when those routes do not work.
STI & HIV

STI walk-in clinic, HIV services and current clinic fee

Metro Health’s STI Walk-In Clinic is at 512 E. Highland, Suite 150. The clinic phone is 210-207-8830.

Monday-Thursday

Clinic hours are 7:45 a.m.-4:30 p.m. The latest ordinary check-in is 90 minutes before closing, subject to capacity.

Friday

The clinic is open 7:45 a.m.-noon. Capacity can cause intake to close before the stated check-in cutoff.

Current administrative fee

The office-visit administrative fee is currently $15. Other charges depend on the services provided, and special payment arrangements may be considered.

Patient Portal Metro Health offers a secure patient portal for personal information related to immunizations, STI services and tuberculosis care.

Counseling

STI/HIV counseling can be reached at 210-207-2816, Monday-Thursday 8:00 a.m.-4:30 p.m. and Friday 8:00 a.m.-noon.

Tuberculosis

San Antonio TB Clinic testing, treatment and fees

Metro Health’s Tuberculosis Clinic is at 2303 SE Military Dr., Building 528, phone 210-207-8823. Published hours are Monday-Friday from 8:00 a.m. to 4:30 p.m.

Exam and treatment

Metro Health currently lists TB examination and treatment at no charge.

TB testing

The current posted charge for TB testing is $69.

Active and latent TB

The program manages active TB disease, latent infection, contact investigations, surveillance and qualifying preventive therapy.

Directly Observed Therapy

DOT and Directly Observed Preventive Therapy may be provided at the clinic, home, job site or through an arranged school/hospital nurse, depending on the public-health treatment plan.

Received a TB letter or phone call? Metro Health specifically instructs people contacted by its TB program to call 210-207-8823 promptly.
Birth & death records

Where to get a San Antonio birth certificate

Metro Health does not issue San Antonio birth and death certificates. The City Clerk serves as local registrar for births, deaths and fetal deaths occurring in Bexar County.

Vital Records office

George Whitfield, Jr. Municipal Archives & Records Center, 719 S. Santa Rosa, San Antonio, TX 78204.

Current birth certificate fee

All birth certificates currently cost $23. Online orders have additional processing/service charges.

In-person hours

Monday-Friday 8:00 a.m.-4:00 p.m.; third Tuesday of the month 10:00 a.m.-4:00 p.m. The office may stop registration early when demand exceeds daily capacity.

Long form versus Texas state abstract

Certificate Availability Important use note
Long Form Births within Bexar County Accepted for uses including passports and immigration.
State Abstract Texas births after 1925 Not acceptable for genealogy, immigration or passports.
Bring original qualifying documents The City Clerk requires valid identification and, when needed, original documents proving qualified-applicant status. Photos or ordinary copies of required supporting documents are not accepted for those requirements.

Open official San Antonio birth certificate page

Food permits & inspections

Restaurant permits, food licenses and inspection reports

Metro Health licenses and inspects food establishments within the City of San Antonio and applicable unincorporated Bexar County areas. Permit services are available at the Cliff Morton Development and Business Services Center, 1901 S. Alamo St., phone 210-207-0135.

Food establishment license

Restaurants and other regulated food establishments need the appropriate Metro Health license before operating. Annual fees vary by operation type and gross sales.

Mobile & temporary food

Metro Health has separate requirements for mobile vending units and temporary food events. Do not assume a normal restaurant permit covers temporary vending.

Inspection scores

The City publishes food establishment inspection reports so residents and businesses can review restaurant health scores.

Selected current food-establishment fees

Fee Current amount
Food permit late fee $100
Replacement permit $15
Health licensing inspection $150
Consultation inspection $139
Permit reinstatement $103
Operating without proper permit $154
Additional reinspection $150 each
Do not select a fee from a generic table without checking your operation Annual permit amounts differ by business type and reported gross annual food sales. Confirm the correct category with Metro Health before payment.
Maternal & family health

Healthy Start, breastfeeding, child asthma and family programs

Metro Health’s Maternal, Child & Family Health division goes beyond WIC. Current programs include Healthy Start, lactation support, oral-health initiatives and SA Kids BREATHE.

Healthy Start

Offers case management, outreach, health education, depression screening/referral, high-risk doula support, lactation help, fatherhood support and safe-sleep education.

Home-based Healthy Start

Eligibility focuses on pregnancy or having a baby under age one while living in one of the program’s selected San Antonio ZIP codes. Call 210-207-4725 for screening.

SA Kids BREATHE

A free virtual or in-person asthma education/support program is available for qualifying San Antonio children ages 3-17 diagnosed with asthma.

Healthy Start home visits continue after birth The program can provide virtual and home-visiting support during pregnancy and until the baby reaches 18 months, subject to the applicable service and eligibility route.
Other Metro Health programs

Diabetes help, outbreak response and community-health resources

Diabetes Prevention

Metro Health offers a free diabetes-prevention program for qualifying adults at increased risk of type 2 diabetes.

Insulin Assistance

The Metro Health/H-E-B Diabetes Insulin Assistance Program relaunched May 15, 2026 and remains open while allocated funding lasts.

Communicable-disease response

Epidemiology investigates suspected and confirmed reportable diseases, outbreaks and other communicable-disease threats affecting San Antonio and Bexar County.

2026 insulin-program detail Metro Health says San Antonio and Bexar County families who need financial help paying for insulin can participate without submitting proof of income, insurance or citizenship. A valid prescription is still required.
Before you drive

What to bring and what to confirm before visiting

San Antonio’s health services are spread across multiple buildings. Confirm the service address before leaving home rather than assuming City Tower is the clinic.

Vaccines: Bring any prior immunization records and confirm the appointment before going to Mel Waiters Way.
Immunization record: Check the vaccine provider, former school and ImmTrac2 first; Metro Health can provide a record-only copy for the current $5 fee.
STI clinic: Arrive well before the last check-in because intake can close early when daily capacity is reached.
TB clinic: Tell staff whether the need is testing, treatment, exposure follow-up or a Metro Health referral/contact investigation.
WIC: Confirm your neighborhood clinic and the specific appointment/document requirements.
Birth certificate: Go to the City Clerk’s Santa Rosa location, not Metro Health, and bring valid ID and required original supporting documents.
Food permit: Know the business type, address, ownership, gross-sales category and whether you need new licensing, change of ownership or consultation.
Disease report: Healthcare providers should use Metro Health’s reportable-disease routes rather than ordinary customer service.
Simple route

How to reach the right San Antonio public-health service

Identify the exact task

Decide whether you need a vaccine, WIC appointment, STI service, TB care, food permit, birth certificate or another community-health program.

Choose the correct agency and location

Metro Health handles public-health programs, but the City Clerk handles local birth and death certificates.

Call the direct service line

Use 210-207-8790 for vaccines, 210-207-8830 for STI services, 210-207-8823 for TB or 210-207-0135 for food permits.

Confirm hours, cutoff and appointment rules

Some services are appointment-only, while others are walk-in but can close intake early when capacity is reached.

Use official systems for records and payments

Do not send medical records, identity documents, WIC information, certificate applications or business-payment details to an unofficial directory site.

FAQs

San Antonio Health Department FAQs

What is the San Antonio Health Department phone number?

The official agency is the San Antonio Metropolitan Health District, or Metro Health. Its main administrative phone number is 210-207-8780. City customer service is available through 311 or 210-207-6000.

Where is San Antonio Metro Health located?

The administrative office is at City Tower, 100 W. Houston St., 14th Floor, San Antonio, TX 78205. Clinical services are provided at separate locations.

Where do I get vaccines from Metro Health?

The Metro Health Immunization Clinic is at 210 N. Mel Waiters Way, San Antonio, TX 78202. Vaccines are by appointment only; call 210-207-8790. Published hours are Monday-Friday from 8 a.m. to 3 p.m., with lunch closure noon-1 p.m.

How much does an immunization record cost?

A record-only copy through the Metro Health Immunization Clinic currently costs $5. A record is supplied without that copy fee when an immunization is administered.

Does San Antonio Metro Health have WIC?

Yes. Metro Health operates multiple neighborhood WIC clinics throughout San Antonio, including Buena Vista, Callaghan, Grissom, Marbach, Naco-Perrin, Pecan Valley, Rittiman, Salinas, South Flores and Zarzamora.

Where is the San Antonio STI clinic?

The Metro Health STI Walk-In Clinic is at 512 E. Highland, Suite 150, San Antonio, TX 78210. The phone number is 210-207-8830.

How much does TB testing cost at San Antonio Metro Health?

The Metro Health TB Clinic currently lists TB testing at $69. Examination and treatment are listed at no charge.

Can I get a birth certificate at Metro Health?

No. San Antonio birth and death records are handled by the Office of the City Clerk. In-person Vital Records service is at 719 S. Santa Rosa. Birth certificates currently cost $23.

Who handles restaurant permits in San Antonio?

San Antonio Metro Health handles food establishment licensing and inspections. Permit services are at the Cliff Morton Development and Business Services Center, 1901 S. Alamo St., phone 210-207-0135.

Who do healthcare providers call to report a communicable disease in San Antonio?

Metro Health’s general reportable-disease line is 210-207-8876 and operates 24 hours a day, seven days a week. STI/HIV and tuberculosis also have specialized reporting routes.

Independent information notice: Department-of-Health.org is not the San Antonio Metropolitan Health District, City of San Antonio, Bexar County, Texas Department of State Health Services, Texas WIC or any healthcare provider. This guide does not diagnose conditions, administer vaccines, enroll WIC participants, perform STI or TB treatment, issue birth certificates, approve food permits or collect official payments. Verify current hours, fees, eligibility, capacity, appointment requirements and application procedures with the responsible official office before acting.