45D2033991 CLIA NUMBER - MEMORIAL HERMANN HEALTH CENTER FOR SCHOOLS - TERRY HS

Laboratory Demographics

  • CLIA Code: 45D2033991
  • Facility Name: MEMORIAL HERMANN HEALTH CENTER FOR SCHOOLS - TERRY HS
  • Facility Address: 5500 AVE N
    ROSENBERG, TX
    ZIP 77471
  • Facility Phone: 281 762-8383
  • Facility Type: Other - SCHOOL BASED HEALTH CNTR
  • Facility Type: Waiver
  • Lab Director: SYDNEY BOULE
  • NPI Number: 1730577503
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2033991
LAB Type Other - SCHOOL BASED HEALTH CNTR
Facility Name MEMORIAL HERMANN HEALTH CENTER FOR SCHOOLS - TERRY HS
Street 5500 AVE N
City ROSENBERG
State TX
ZIP 77471
Phone 281 762-8383
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2023
Certificate Expiration Date 12/13/2025
Facility Type Other - SCHOOL BASED HEALTH CNTR
Lab Director SYDNEY BOULE

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