45D2001913 CLIA NUMBER - MEMORIAL HERMANN ENDOSCOPY CENTER NORTH LOOP

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Laboratory Demographics

CLIA Number: 45D2001913

Facility Name: MEMORIAL HERMANN ENDOSCOPY CENTER NORTH LOOP

Facility Address:
1900 NORTH LOOP WEST SUITE 550
HOUSTON, TX
ZIP 77018
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Facility Phone Number: 713 457-2765

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1447214341

Taxonomy: 101YM0800X - Counselor

CLIA Record

Field Name	Field Value
CLIA Number	45D2001913
LAB Type	Ambulatory Surgery Center
Facility Name	MEMORIAL HERMANN ENDOSCOPY CENTER NORTH LOOP
Street	1900 NORTH LOOP WEST SUITE 550
City	HOUSTON
State	TX
ZIP	77018
Phone	713 457-2765
CertificateType	4
CertificateEffectiveDate	1/4/2024
CertificateExpirationDate	1/3/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024