45D2016597 CLIA NUMBER - LIFETIME OB/GYN, PLLC

Laboratory Demographics

  • CLIA Code: 45D2016597
  • Facility Name: LIFETIME OB/GYN, PLLC
  • Facility Address: 12300 DUNDEE CT, SUITE 204
    CYPRESS, TX
    ZIP 77429
  • Facility Phone: 281 517-0200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IRINA KARBAN
  • NPI Number: 1770801847
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 45D2016597
LAB Type Physician Office
Facility Name LIFETIME OB/GYN, PLLC
Street 12300 DUNDEE CT, SUITE 204
City CYPRESS
State TX
ZIP 77429
Phone 281 517-0200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2024
Certificate Expiration Date 11/18/2026
Facility Type Physician Office
Lab Director IRINA KARBAN

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