45D1063117 CLIA NUMBER - SHANNON KLUPPEL, MD

Laboratory Demographics

  • CLIA Code: 45D1063117
  • Facility Name: SHANNON KLUPPEL, MD
  • Facility Address: 1000 EAST JAMES
    BAYTOWN, TX
    ZIP 77520
  • Facility Phone: 281 422-5437
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHANNON KLUPPEL, MD
  • NPI Number: 1073149480
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D1063117
LAB Type Physician Office
Facility Name SHANNON KLUPPEL, MD
Street 1000 EAST JAMES
City BAYTOWN
State TX
ZIP 77520
Phone 281 422-5437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2025
Certificate Expiration Date 1/4/2027
Facility Type Physician Office
Lab Director SHANNON KLUPPEL, MD

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