45D1001200 CLIA NUMBER - MEAH ASC MANAGEMENT, LLC DBA ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 45D1001200
  • Facility Name: MEAH ASC MANAGEMENT, LLC DBA ENDOSCOPY CENTER
  • Facility Address: 109 PARKING WAY
    LAKE JACKSON, TX
    ZIP 77566
  • Facility Phone: 979 292-0033
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MEAH NIZAM
  • NPI Number: 1720099260
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1001200
LAB Type Ambulatory Surgery Center
Facility Name MEAH ASC MANAGEMENT, LLC DBA ENDOSCOPY CENTER
Street 109 PARKING WAY
City LAKE JACKSON
State TX
ZIP 77566
Phone 979 292-0033
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2024
Certificate Expiration Date 7/2/2026
Facility Type Ambulatory Surgery Center
Lab Director MEAH NIZAM

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