45D0955120 CLIA NUMBER - NORTHWEST SURGERY CENTER

Laboratory Demographics

CLIA Number: 45D0955120

Facility Name: NORTHWEST SURGERY CENTER

Facility Address:
17322 RED OAK
HOUSTON, TX
ZIP 77090
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Facility Phone Number: 281 895-9100

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1598768632

Taxonomy: 261QM2500X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

CLIA Record

Field Name	Field Value
CLIA Number	45D0955120
LAB Type	Ambulatory Surgery Center
Facility Name	NORTHWEST SURGERY CENTER
Street	17322 RED OAK
City	HOUSTON
State	TX
ZIP	77090
Phone	281 895-9100
CertificateType	4
CertificateEffectiveDate	12/18/2022
CertificateExpirationDate	12/17/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024