45D1046550 CLIA NUMBER - MEMORIAL HERMANN HEALTH CENTERS FOR SCHOOLS HOGG CLINIC

Laboratory Demographics

CLIA Number: 45D1046550

Facility Name: MEMORIAL HERMANN HEALTH CENTERS FOR SCHOOLS HOGG CLINIC

Facility Address:
1100 MERRILL STREET
HOUSTON, TX
ZIP 77009
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Facility Phone Number: 713 864-7614

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1841709904

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D1046550
LAB Type	School/Student Health Service
Facility Name	MEMORIAL HERMANN HEALTH CENTERS FOR SCHOOLS HOGG CLINIC
Street	1100 MERRILL STREET
City	HOUSTON
State	TX
ZIP	77009
Phone	713 864-7614
CertificateType	4
CertificateEffectiveDate	10/12/2023
CertificateExpirationDate	10/11/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024