45D2013321 CLIA NUMBER - LAKESIDE OPEN MRI & DIAGNOSTIC CENTER

Laboratory Demographics

  • CLIA Code: 45D2013321
  • Facility Name: LAKESIDE OPEN MRI & DIAGNOSTIC CENTER
  • Facility Address: 17360 HWY 3
    WEBSTER, TX
    ZIP 77598
  • Facility Phone: 281 338-5575
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: SALIMA DHALLA
  • NPI Number: 1639536550
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 45D2013321
LAB Type Independent
Facility Name LAKESIDE OPEN MRI & DIAGNOSTIC CENTER
Street 17360 HWY 3
City WEBSTER
State TX
ZIP 77598
Phone 281 338-5575
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2024
Certificate Expiration Date 9/16/2026
Facility Type Independent
Lab Director SALIMA DHALLA

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