45D1014255 CLIA NUMBER - FAIRFIELD MEDICAL CENTER LLP

Laboratory Demographics

  • CLIA Code: 45D1014255
  • Facility Name: FAIRFIELD MEDICAL CENTER LLP
  • Facility Address: 15040 FAIRFIELD VILLAGE SQUARE DRIVE, SUITE 150
    CYPRESS, TX
    ZIP 77433
  • Facility Phone: 281 304-5100
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JENNIFER S. KWAK
  • NPI Number: 1538504196
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1014255
LAB Type Physician Office
Facility Name FAIRFIELD MEDICAL CENTER LLP
Street 15040 FAIRFIELD VILLAGE SQUARE DRIVE, SUITE 150
City CYPRESS
State TX
ZIP 77433
Phone 281 304-5100
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 9/9/2023
Certificate Expiration Date 9/8/2025
Facility Type Physician Office
Lab Director JENNIFER S. KWAK

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