45D0489773 CLIA NUMBER - LEGACY COMMUNITY HEALTH-MONTROSE

Laboratory Demographics

  • CLIA Code: 45D0489773
  • Facility Name: LEGACY COMMUNITY HEALTH-MONTROSE
  • Facility Address: 1415 CALIFORNIA STREET
    HOUSTON, TX
    ZIP 77006
  • Facility Phone: 713 814-3293
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: NATALIE VANEK
  • NPI Number: 1174161244
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D0489773
LAB Type Federally Qualified Health Center
Facility Name LEGACY COMMUNITY HEALTH-MONTROSE
Street 1415 CALIFORNIA STREET
City HOUSTON
State TX
ZIP 77006
Phone 713 814-3293
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2024
Certificate Expiration Date 3/27/2026
Facility Type Federally Qualified Health Center
Lab Director NATALIE VANEK

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