45D2040814 CLIA NUMBER - MEMORIAL HERMANN MEDICAL GROUP KATY

Laboratory Demographics

  • CLIA Code: 45D2040814
  • Facility Name: MEMORIAL HERMANN MEDICAL GROUP KATY
  • Facility Address: 23960 KATY FREEWAY, SUITE 400
    KATY, TX
    ZIP 77494
  • Facility Phone: 713 338-7942
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HINA PANDYA
  • NPI Number: 1760412803
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2040814
LAB Type Physician Office
Facility Name MEMORIAL HERMANN MEDICAL GROUP KATY
Street 23960 KATY FREEWAY, SUITE 400
City KATY
State TX
ZIP 77494
Phone 713 338-7942
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2024
Certificate Expiration Date 5/9/2026
Facility Type Physician Office
Lab Director HINA PANDYA

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This page was last updated on: 3/20/2025