45D0683856 CLIA NUMBER - VILLAGEMD OF SOUTHEAST TEXAS, PA

Laboratory Demographics

  • CLIA Code: 45D0683856
  • Facility Name: VILLAGEMD OF SOUTHEAST TEXAS, PA
  • Facility Address: 4650 WESTWAY PARK BLVD, SUITE 210
    HOUSTON, TX
    ZIP 77041
  • Facility Phone: 346 980-2236
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: MR. MICHAEL B. SMITH
  • NPI Number: 1578203816
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0683856
LAB Type Physician Office
Facility Name VILLAGEMD OF SOUTHEAST TEXAS, PA
Street 4650 WESTWAY PARK BLVD, SUITE 210
City HOUSTON
State TX
ZIP 77041
Phone 346 980-2236
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 9/6/2025
Certificate Expiration Date 9/5/2027
Facility Type Physician Office
Lab Director MR. MICHAEL B. SMITH

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