45D1088846 CLIA NUMBER - PREMIER UROLOGY

Laboratory Demographics

  • CLIA Code: 45D1088846
  • Facility Name: PREMIER UROLOGY
  • Facility Address: 215 KINGWOOD EXECUTIVE DR #250
    KINGWOOD, TX
    ZIP 77339
  • Facility Phone: 281 358-0171
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CORDELL NWOKEJI
  • NPI Number: 1740444371
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 45D1088846
LAB Type Physician Office
Facility Name PREMIER UROLOGY
Street 215 KINGWOOD EXECUTIVE DR #250
City KINGWOOD
State TX
ZIP 77339
Phone 281 358-0171
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2024
Certificate Expiration Date 3/11/2026
Facility Type Physician Office
Lab Director CORDELL NWOKEJI

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