45D1056691 CLIA NUMBER - FAMILY PHYSICIANS AT KATY TAMARA STOUT MD, PA

Laboratory Demographics

  • CLIA Code: 45D1056691
  • Facility Name: FAMILY PHYSICIANS AT KATY TAMARA STOUT MD, PA
  • Facility Address: 707 SOUTH FRY RD STE 280
    KATY, TX
    ZIP 77450
  • Facility Phone: 713 385-6507
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: TAMARA A. STOUT
  • NPI Number: 1639378235
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1056691
LAB Type Physician Office
Facility Name FAMILY PHYSICIANS AT KATY TAMARA STOUT MD, PA
Street 707 SOUTH FRY RD STE 280
City KATY
State TX
ZIP 77450
Phone 713 385-6507
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 7/21/2024
Certificate Expiration Date 7/20/2026
Facility Type Physician Office
Lab Director TAMARA A. STOUT

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