45D2080430 CLIA NUMBER - CLEAR LAKE MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 45D2080430
  • Facility Name: CLEAR LAKE MEDICAL GROUP
  • Facility Address: 1045 GEMINI ST SUITE 200-B
    HOUSTON, TX
    ZIP 77058
  • Facility Phone: 281 486-7900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVEN T. DENNIS II
  • NPI Number: 1861905408
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2080430
LAB Type Physician Office
Facility Name CLEAR LAKE MEDICAL GROUP
Street 1045 GEMINI ST SUITE 200-B
City HOUSTON
State TX
ZIP 77058
Phone 281 486-7900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2024
Certificate Expiration Date 7/7/2026
Facility Type Physician Office
Lab Director STEVEN T. DENNIS II

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