45D0719459 CLIA NUMBER - LAKE CONROE MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 45D0719459
  • Facility Name: LAKE CONROE MEDICAL CLINIC
  • Facility Address: 19380 HIGHWAY 105 WEST, SUITE 531 WESTERN HILLS PLAZA
    MONTGOMERY, TX
    ZIP 77356
  • Facility Phone: 936 582-2852
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: NAJMUDDIN K. KARIMJEE
  • NPI Number: 1992249494
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 45D0719459
LAB Type Community Clinic
Facility Name LAKE CONROE MEDICAL CLINIC
Street 19380 HIGHWAY 105 WEST, SUITE 531 WESTERN HILLS PLAZA
City MONTGOMERY
State TX
ZIP 77356
Phone 936 582-2852
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Community Clinic
Lab Director NAJMUDDIN K. KARIMJEE

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