45D2007010 CLIA NUMBER - NORTH LAKES PAIN CONSULTANTS

Laboratory Demographics

  • CLIA Code: 45D2007010
  • Facility Name: NORTH LAKES PAIN CONSULTANTS
  • Facility Address: 133 MEDICAL PARK LN STE B
    HUNTSVILLE, TX
    ZIP 77340
  • Facility Phone: 936 730-8833
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN M. SIMS
  • NPI Number: 1235148172
  • Taxonomy: 208VP0000X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2007010
LAB Type Physician Office
Facility Name NORTH LAKES PAIN CONSULTANTS
Street 133 MEDICAL PARK LN STE B
City HUNTSVILLE
State TX
ZIP 77340
Phone 936 730-8833
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2024
Certificate Expiration Date 5/4/2026
Facility Type Physician Office
Lab Director STEPHEN M. SIMS

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