45D1057557 CLIA NUMBER - ROUSSEL CLEMENT MD

Laboratory Demographics

  • CLIA Code: 45D1057557
  • Facility Name: ROUSSEL CLEMENT MD
  • Facility Address: 6265 39TH STREET
    GROVES, TX
    ZIP 77619
  • Facility Phone: 409 962-4400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROUSSEL CLEMENT, MD
  • NPI Number: 1710977913
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D1057557
LAB Type Physician Office
Facility Name ROUSSEL CLEMENT MD
Street 6265 39TH STREET
City GROVES
State TX
ZIP 77619
Phone 409 962-4400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2024
Certificate Expiration Date 8/14/2026
Facility Type Physician Office
Lab Director ROUSSEL CLEMENT, MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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