45D2011965 CLIA NUMBER - MEMORIAL HERMANN SURGERY CENTER RICHMOND

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Laboratory Demographics

CLIA Number: 45D2011965

Facility Name: MEMORIAL HERMANN SURGERY CENTER RICHMOND

Facility Address:
21155 SOUTHWEST FREEWAY
RICHMOND, TX
ZIP 77469
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Facility Phone Number: 281 344-5444

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1366776106

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2011965
LAB Type	Ambulatory Surgery Center
Facility Name	MEMORIAL HERMANN SURGERY CENTER RICHMOND
Street	21155 SOUTHWEST FREEWAY
City	RICHMOND
State	TX
ZIP	77469
Phone	281 344-5444
CertificateType	4
CertificateEffectiveDate	8/26/2022
CertificateExpirationDate	8/25/2024
FacilityType	Waiver

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