45D2047616 CLIA NUMBER - OCCUCARE INTERNATIONAL

Laboratory Demographics

  • CLIA Code: 45D2047616
  • Facility Name: OCCUCARE INTERNATIONAL
  • Facility Address: 321 W SAN AUGUSTINE ST
    DEER PARK, TX
    ZIP 77536
  • Facility Phone: 281 476-0780
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICKY M. MCSHANE
  • NPI Number: 1003187980
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2047616
LAB Type Physician Office
Facility Name OCCUCARE INTERNATIONAL
Street 321 W SAN AUGUSTINE ST
City DEER PARK
State TX
ZIP 77536
Phone 281 476-0780
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2024
Certificate Expiration Date 9/26/2026
Facility Type Physician Office
Lab Director RICKY M. MCSHANE

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