45D0693567 CLIA NUMBER - MEDIC LANE PHYSICIANS PLLC

Laboratory Demographics

  • CLIA Code: 45D0693567
  • Facility Name: MEDIC LANE PHYSICIANS PLLC
  • Facility Address: 400 MEDIC LANE STE C
    ALVIN, TX
    ZIP 77511
  • Facility Phone: 281 331-0082
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: KERRY D. MCCARROLL
  • NPI Number: 1427035161
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0693567
LAB Type Community Clinic
Facility Name MEDIC LANE PHYSICIANS PLLC
Street 400 MEDIC LANE STE C
City ALVIN
State TX
ZIP 77511
Phone 281 331-0082
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 11/13/2024
Certificate Expiration Date 11/12/2026
Facility Type Community Clinic
Lab Director KERRY D. MCCARROLL

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