45D1037445 CLIA NUMBER - BSLMG WL ID AND IM

Laboratory Demographics

  • CLIA Code: 45D1037445
  • Facility Name: BSLMG WL ID AND IM
  • Facility Address: 17521 ST LUKE'S WAY, SUITE 160
    THE WOODLANDS, TX
    ZIP 77384
  • Facility Phone: 936 266-2249
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: NAGAKRISHNAL NACHIMUTHU

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CLIA Record

Field Name Field Value
CLIA Number 45D1037445
LAB Type Community Clinic
Facility Name BSLMG WL ID AND IM
Street 17521 ST LUKE'S WAY, SUITE 160
City THE WOODLANDS
State TX
ZIP 77384
Phone 936 266-2249
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 3/30/2025
Certificate Expiration Date 3/29/2027
Facility Type Community Clinic
Lab Director NAGAKRISHNAL NACHIMUTHU

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