45D0681954 CLIA NUMBER - MEMORIAL HERMANN MEDICAL GROUP UROLOGY MEMORIAL CITY

Laboratory Demographics

  • CLIA Code: 45D0681954
  • Facility Name: MEMORIAL HERMANN MEDICAL GROUP UROLOGY MEMORIAL CITY
  • Facility Address: 915 GESSNER RD, SUITE 720
    HOUSTON, TX
    ZIP 77024
  • Facility Phone: 713 338-7942
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DEEPTI MISHRA
  • NPI Number: 1124270798
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 45D0681954
LAB Type Physician Office
Facility Name MEMORIAL HERMANN MEDICAL GROUP UROLOGY MEMORIAL CITY
Street 915 GESSNER RD, SUITE 720
City HOUSTON
State TX
ZIP 77024
Phone 713 338-7942
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 DEEPTI MISHRA

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