45D2053831 CLIA NUMBER - SPRING CREEK UROLOGY SPECIALIST, LLC

Laboratory Demographics

  • CLIA Code: 45D2053831
  • Facility Name: SPRING CREEK UROLOGY SPECIALIST, LLC
  • Facility Address: 9305 PINECROFT DR SUITE 303
    THE WOODLANDS, TX
    ZIP 77380
  • Facility Phone: 936 441-1005
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAMIR SHIRODKAR
  • NPI Number: 1053783514
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 45D2053831
LAB Type Physician Office
Facility Name SPRING CREEK UROLOGY SPECIALIST, LLC
Street 9305 PINECROFT DR SUITE 303
City THE WOODLANDS
State TX
ZIP 77380
Phone 936 441-1005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Physician Office
Lab Director SAMIR SHIRODKAR

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