45D1053937 CLIA NUMBER - MEMORIAL HERMANN SURGERY CENTER TEXAS MEDICAL CENTER, LLP

Laboratory Demographics

  • CLIA Code: 45D1053937
  • Facility Name: MEMORIAL HERMANN SURGERY CENTER TEXAS MEDICAL CENTER, LLP
  • Facility Address: 6400 FANNIN STREET
    HOUSTON, TX
    ZIP 77030
  • Facility Phone: 713 343-0844
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DIANDA TODD
  • NPI Number: 1497312540
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1053937
LAB Type Ambulatory Surgery Center
Facility Name MEMORIAL HERMANN SURGERY CENTER TEXAS MEDICAL CENTER, LLP
Street 6400 FANNIN STREET
City HOUSTON
State TX
ZIP 77030
Phone 713 343-0844
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2024
Certificate Expiration Date 5/7/2026
Facility Type Ambulatory Surgery Center
Lab Director DIANDA TODD

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This page was last updated on: 3/20/2025