45D0943557 CLIA NUMBER - EDWARD W LEAHEY, MD, PA

Laboratory Demographics

  • CLIA Code: 45D0943557
  • Facility Name: EDWARD W LEAHEY, MD, PA
  • Facility Address: 4201 GARTH RD, SUITE 100
    BAYTOWN, TX
    ZIP 77521
  • Facility Phone: 281 422-3113
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDWARD W. LEAHEY MD
  • NPI Number: 1184126575
  • Taxonomy: 363A00000X - Physician Assistant

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CLIA Record

Field Name Field Value
CLIA Number 45D0943557
LAB Type Physician Office
Facility Name EDWARD W LEAHEY, MD, PA
Street 4201 GARTH RD, SUITE 100
City BAYTOWN
State TX
ZIP 77521
Phone 281 422-3113
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2024
Certificate Expiration Date 3/29/2026
Facility Type Physician Office
Lab Director EDWARD W. LEAHEY MD

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