45D1067812 CLIA NUMBER - FAMILY SUREHEALTH CLINIC LLC

Laboratory Demographics

  • CLIA Code: 45D1067812
  • Facility Name: FAMILY SUREHEALTH CLINIC LLC
  • Facility Address: 9207 COUNTRY CREEK DRIVE, SUITE 105
    HOUSTON, TX
    ZIP 77036
  • Facility Phone: 832 755-7805
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SCHOLASTICA NWODO
  • NPI Number: 1770880460
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1067812
LAB Type Physician Office
Facility Name FAMILY SUREHEALTH CLINIC LLC
Street 9207 COUNTRY CREEK DRIVE, SUITE 105
City HOUSTON
State TX
ZIP 77036
Phone 832 755-7805
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2025
Certificate Expiration Date 4/25/2027
Facility Type Physician Office
Lab Director SCHOLASTICA NWODO

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