45D1017263 CLIA NUMBER - FIRST STREET SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 45D1017263
  • Facility Name: FIRST STREET SURGERY CENTER
  • Facility Address: 411 FIRST STREET
    BELLAIRE, TX
    ZIP 77401
  • Facility Phone: 832 723-0063
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MICHAEL SEDRAK
  • NPI Number: 1336267442
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1017263
LAB Type Ambulatory Surgery Center
Facility Name FIRST STREET SURGERY CENTER
Street 411 FIRST STREET
City BELLAIRE
State TX
ZIP 77401
Phone 832 723-0063
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2025
Certificate Expiration Date 9/21/2027
Facility Type Ambulatory Surgery Center
Lab Director MICHAEL SEDRAK

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