45D0981437 CLIA NUMBER - FAIRMONT MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 45D0981437
  • Facility Name: FAIRMONT MEDICAL CLINIC
  • Facility Address: 11200 BLUME AVENUE, SUITE 105/110
    PASADENA, TX
    ZIP 77504
  • Facility Phone: 281 772-8893
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FRANCOIS FERRON
  • NPI Number: 1033778170
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D0981437
LAB Type Physician Office
Facility Name FAIRMONT MEDICAL CLINIC
Street 11200 BLUME AVENUE, SUITE 105/110
City PASADENA
State TX
ZIP 77504
Phone 281 772-8893
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2024
Certificate Expiration Date 12/27/2026
Facility Type Physician Office
Lab Director FRANCOIS FERRON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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