45D2017301 CLIA NUMBER - INNOVATIVE RADIOLOGY PA

Laboratory Demographics

  • CLIA Code: 45D2017301
  • Facility Name: INNOVATIVE RADIOLOGY PA
  • Facility Address: 1435 HIGHWAY 6
    SUGAR LAND, TX
    ZIP 77478
  • Facility Phone: 713 797-1919
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: RANDALL STENOIEN
  • NPI Number: 1568400810
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 45D2017301
LAB Type Independent
Facility Name INNOVATIVE RADIOLOGY PA
Street 1435 HIGHWAY 6
City SUGAR LAND
State TX
ZIP 77478
Phone 713 797-1919
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Independent
Lab Director RANDALL STENOIEN

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