45D0954781 CLIA NUMBER - WELLMED AT RIVERSTONE

Laboratory Demographics

  • CLIA Code: 45D0954781
  • Facility Name: WELLMED AT RIVERSTONE
  • Facility Address: 4626 RIVERSTONE BLVD
    MISSOURI CITY, TX
    ZIP 77459
  • Facility Phone: 281 403-6218
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MATHEWS NINAN
  • NPI Number: 1942208350
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0954781
LAB Type Physician Office
Facility Name WELLMED AT RIVERSTONE
Street 4626 RIVERSTONE BLVD
City MISSOURI CITY
State TX
ZIP 77459
Phone 281 403-6218
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2024
Certificate Expiration Date 12/7/2026
Facility Type Physician Office
Lab Director MATHEWS NINAN

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