45D0946170 CLIA NUMBER - BURT FORGASON MD

Laboratory Demographics

  • CLIA Code: 45D0946170
  • Facility Name: BURT FORGASON MD
  • Facility Address: 14441 MEMORIAL DR #6
    HOUSTON, TX
    ZIP 77079
  • Facility Phone: 281 493-1230
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BURT L. FORGASON MD
  • NPI Number: 1144292921
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D0946170
LAB Type Physician Office
Facility Name BURT FORGASON MD
Street 14441 MEMORIAL DR #6
City HOUSTON
State TX
ZIP 77079
Phone 281 493-1230
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2024
Certificate Expiration Date 5/18/2026
Facility Type Physician Office
Lab Director BURT L. FORGASON MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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