45D1080281 CLIA NUMBER - RIDGEMONT MEDICAL OFFICE LAB

Laboratory Demographics

  • CLIA Code: 45D1080281
  • Facility Name: RIDGEMONT MEDICAL OFFICE LAB
  • Facility Address: 3321 RIDGEMONT DR
    ORANGE, TX
    ZIP 77630
  • Facility Phone: 409 883-6052
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER K. SMITH
  • NPI Number: 1972731685
  • Taxonomy: 208M00000X - Hospitalist

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CLIA Record

Field Name Field Value
CLIA Number 45D1080281
LAB Type Physician Office
Facility Name RIDGEMONT MEDICAL OFFICE LAB
Street 3321 RIDGEMONT DR
City ORANGE
State TX
ZIP 77630
Phone 409 883-6052
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2024
Certificate Expiration Date 2/18/2026
Facility Type Physician Office
Lab Director JENNIFER K. SMITH

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