45D1103723 CLIA NUMBER - AJAY AGGARWAL MD

Laboratory Demographics

  • CLIA Code: 45D1103723
  • Facility Name: AJAY AGGARWAL MD
  • Facility Address: 208 OAK DRIVE SOUTH, STE 500
    LAKE JACKSON, TX
    ZIP 77566
  • Facility Phone: 979 245-7246
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: AJAY AGGARWAL
  • NPI Number: 1730628116
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 45D1103723
LAB Type Physician Office
Facility Name AJAY AGGARWAL MD
Street 208 OAK DRIVE SOUTH, STE 500
City LAKE JACKSON
State TX
ZIP 77566
Phone 979 245-7246
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/12/2024
Certificate Expiration Date 2/11/2026
Facility Type Physician Office
Lab Director AJAY AGGARWAL

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