45D0978428 CLIA NUMBER - SUGAR LAKES FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 45D0978428
  • Facility Name: SUGAR LAKES FAMILY PRACTICE
  • Facility Address: 16902 SOUTHWEST FREEWAY SUITE 100
    SUGAR LAND, TX
    ZIP 77479
  • Facility Phone: 281 565-2800
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOHN R. VANDERZYL MD
  • NPI Number: 1588789986
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0978428
LAB Type Physician Office
Facility Name SUGAR LAKES FAMILY PRACTICE
Street 16902 SOUTHWEST FREEWAY SUITE 100
City SUGAR LAND
State TX
ZIP 77479
Phone 281 565-2800
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 9/25/2024
Certificate Expiration Date 9/24/2026
Facility Type Physician Office
Lab Director JOHN R. VANDERZYL MD

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This page was last updated on: 6/4/2025