45D2065047 CLIA NUMBER - MEMORIAL HERMANN IMAGING CENTERS - RICHMOND AVE

Laboratory Demographics

  • CLIA Code: 45D2065047
  • Facility Name: MEMORIAL HERMANN IMAGING CENTERS - RICHMOND AVE
  • Facility Address: 2900 RICHMOND AVENUE
    HOUSTON, TX
    ZIP 77098
  • Facility Phone: 713 569-7008
  • Facility Type: Other - OUTPATIENT IMAGING CENTER
  • Facility Type: Waiver
  • Lab Director: BRIAN N. CHANG
  • NPI Number: 1639343635
  • Taxonomy: 293D00000X - Physiological Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 45D2065047
LAB Type Other - OUTPATIENT IMAGING CENTER
Facility Name MEMORIAL HERMANN IMAGING CENTERS - RICHMOND AVE
Street 2900 RICHMOND AVENUE
City HOUSTON
State TX
ZIP 77098
Phone 713 569-7008
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/3/2025
Certificate Expiration Date 9/2/2027
Facility Type Other - OUTPATIENT IMAGING CENTER
Lab Director BRIAN N. CHANG

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