45D0489289 CLIA NUMBER - GULF COAST UROLOGY PA

Laboratory Demographics

  • CLIA Code: 45D0489289
  • Facility Name: GULF COAST UROLOGY PA
  • Facility Address: 1200 BINZ ST # 460
    HOUSTON, TX
    ZIP 77004
  • Facility Phone: 713 650-1502
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: GRANT P. REDROW
  • NPI Number: 1770583015
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 45D0489289
LAB Type Physician Office
Facility Name GULF COAST UROLOGY PA
Street 1200 BINZ ST # 460
City HOUSTON
State TX
ZIP 77004
Phone 713 650-1502
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director GRANT P. REDROW

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