45D2048490 CLIA NUMBER - KATY MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 45D2048490
  • Facility Name: KATY MEDICAL CENTER
  • Facility Address: 948 S FRY ROAD
    KATY, TX
    ZIP 77450
  • Facility Phone: 281 398-7778
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: REGGIE ABRAHAM
  • NPI Number: 1356734644
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2048490
LAB Type Physician Office
Facility Name KATY MEDICAL CENTER
Street 948 S FRY ROAD
City KATY
State TX
ZIP 77450
Phone 281 398-7778
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2024
Certificate Expiration Date 10/16/2026
Facility Type Physician Office
Lab Director REGGIE ABRAHAM

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This page was last updated on: 6/4/2025