45D2046537 CLIA NUMBER - BASSEM MAXIMOS, MD, MPH, PA

Laboratory Demographics

  • CLIA Code: 45D2046537
  • Facility Name: BASSEM MAXIMOS, MD, MPH, PA
  • Facility Address: 651 N EGRET BAY BLVD, SUITE H
    LEAGUE CITY, TX
    ZIP 77573
  • Facility Phone: 832 632-1333
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BASSEM B. MAXIMOS
  • NPI Number: 1063600013
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 45D2046537
LAB Type Physician Office
Facility Name BASSEM MAXIMOS, MD, MPH, PA
Street 651 N EGRET BAY BLVD, SUITE H
City LEAGUE CITY
State TX
ZIP 77573
Phone 832 632-1333
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/24/2025
Certificate Expiration Date 5/23/2027
Facility Type Physician Office
Lab Director BASSEM B. MAXIMOS

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