45D1064774 CLIA NUMBER - FMC SUNNYSIDE

Laboratory Demographics

  • CLIA Code: 45D1064774
  • Facility Name: FMC SUNNYSIDE
  • Facility Address: 8340 COFFEE
    HOUSTON, TX
    ZIP 77033
  • Facility Phone: 713 731-7027
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: WHITSON B. ETHERIDGE

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CLIA Record

Field Name Field Value
CLIA Number 45D1064774
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FMC SUNNYSIDE
Street 8340 COFFEE
City HOUSTON
State TX
ZIP 77033
Phone 713 731-7027
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2025
Certificate Expiration Date 2/12/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director WHITSON B. ETHERIDGE

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