45D0970310 CLIA NUMBER - JOSEPH H ROOSTH, MD PEARLAND DIAGNOSTIC CLINIC, PA

Laboratory Demographics

  • CLIA Code: 45D0970310
  • Facility Name: JOSEPH H ROOSTH, MD PEARLAND DIAGNOSTIC CLINIC, PA
  • Facility Address: 1834 BROADWAY SUITE 102
    PEARLAND, TX
    ZIP 77581
  • Facility Phone: 281 997-8181
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOSEPH H. ROOSTH
  • NPI Number: 1396951273
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 45D0970310
LAB Type Physician Office
Facility Name JOSEPH H ROOSTH, MD PEARLAND DIAGNOSTIC CLINIC, PA
Street 1834 BROADWAY SUITE 102
City PEARLAND
State TX
ZIP 77581
Phone 281 997-8181
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/10/2024
Certificate Expiration Date 2/9/2026
Facility Type Physician Office
Lab Director JOSEPH H. ROOSTH

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