45D0967891 CLIA NUMBER - KELSEY-SEYBOLD CLINIC AMBULATORY SURGERY CENTER

Laboratory Demographics

CLIA Number: 45D0967891

Facility Name: KELSEY-SEYBOLD CLINIC AMBULATORY SURGERY CENTER

Facility Address:
2727 WEST HOLCOMBE BLVD, 3RD FLOOR
HOUSTON, TX
ZIP 77025
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Facility Phone Number: 713 442-1540

Facility Type: Ambulatory Surgery Center

Certificate Type: Certificate of Compliance

NPI Number: 1578593224

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D0967891
LAB Type	Ambulatory Surgery Center
Facility Name	KELSEY-SEYBOLD CLINIC AMBULATORY SURGERY CENTER
Street	2727 WEST HOLCOMBE BLVD, 3RD FLOOR
City	HOUSTON
State	TX
ZIP	77025
Phone	713 442-1540
CertificateType	2
CertificateEffectiveDate	10/4/2023
CertificateExpirationDate	10/3/2025
FacilityType	Compliance

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