45D1027211 CLIA NUMBER - SEALY FAMILY PRACTICE CLINIC

Laboratory Demographics

  • CLIA Code: 45D1027211
  • Facility Name: SEALY FAMILY PRACTICE CLINIC
  • Facility Address: 826 SOUTH MEYER STREET
    SEALY, TX
    ZIP 77474
  • Facility Phone: 979 627-0795
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ISIDRO G. DELEON
  • NPI Number: 1528001526
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1027211
LAB Type Physician Office
Facility Name SEALY FAMILY PRACTICE CLINIC
Street 826 SOUTH MEYER STREET
City SEALY
State TX
ZIP 77474
Phone 979 627-0795
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Physician Office
Lab Director ISIDRO G. DELEON

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