45D2006428 CLIA NUMBER - MICHELEMD

Laboratory Demographics

  • CLIA Code: 45D2006428
  • Facility Name: MICHELEMD
  • Facility Address: 210 GENESIS BLVD, SUITE B
    WEBSTER, TX
    ZIP 77598
  • Facility Phone: (832) 932-5138
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MICHELE BLACKWELL

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CLIA Record

Field Name Field Value
CLIA Number 45D2006428
LAB Type Physician Office
Facility Name MICHELEMD
Street 210 GENESIS BLVD, SUITE B
City WEBSTER
State TX
ZIP 77598
Phone 8329325138
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/21/2026
Certificate Expiration Date 4/20/2028
Facility Type Physician Office
Lab Director MICHELE BLACKWELL

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This page was last updated on: 5/18/2026