45D0494622 CLIA NUMBER - CONROE DERMATOL0GY ASSOCIATES

Laboratory Demographics

  • CLIA Code: 45D0494622
  • Facility Name: CONROE DERMATOL0GY ASSOCIATES
  • Facility Address: 503 MEDICAL CENTER BLVD, STE 140
    CONROE, TX
    ZIP 77304
  • Facility Phone: 409 756-0668
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: GREGORY KRENEK MD
  • NPI Number: 1760582910
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D0494622
LAB Type Physician Office
Facility Name CONROE DERMATOL0GY ASSOCIATES
Street 503 MEDICAL CENTER BLVD, STE 140
City CONROE
State TX
ZIP 77304
Phone 409 756-0668
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 GREGORY KRENEK MD

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