45D2043719 CLIA NUMBER - ST MICHAEL'S PAIN & SPINE CLINICS

Laboratory Demographics

  • CLIA Code: 45D2043719
  • Facility Name: ST MICHAEL'S PAIN & SPINE CLINICS
  • Facility Address: 2646 S LOOP W STE 106
    HOUSTON, TX
    ZIP 77054
  • Facility Phone: 713 661-0300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MIGUEL A. PAPPOLLA
  • NPI Number: 1710153408
  • Taxonomy: 208VP0014X - Pain Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2043719
LAB Type Physician Office
Facility Name ST MICHAEL'S PAIN & SPINE CLINICS
Street 2646 S LOOP W STE 106
City HOUSTON
State TX
ZIP 77054
Phone 713 661-0300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2025
Certificate Expiration Date 9/7/2027
Facility Type Physician Office
Lab Director MIGUEL A. PAPPOLLA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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