45D0919771 CLIA NUMBER - MEMORIAL HERMANN MEMORIAL VILLAGE

Laboratory Demographics

  • CLIA Code: 45D0919771
  • Facility Name: MEMORIAL HERMANN MEMORIAL VILLAGE
  • Facility Address: 1120 BUSINESS CENTER DRIVE, STE 110
    HOUSTON, TX
    ZIP 77043
  • Facility Phone: 713 337-1111
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: JEFFREY CHARNOR
  • NPI Number: 1700913324
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 45D0919771
LAB Type Other
Facility Name MEMORIAL HERMANN MEMORIAL VILLAGE
Street 1120 BUSINESS CENTER DRIVE, STE 110
City HOUSTON
State TX
ZIP 77043
Phone 713 337-1111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2024
Certificate Expiration Date 9/15/2026
Facility Type Other
Lab Director JEFFREY CHARNOR

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