45D2094974 CLIA NUMBER - SOLACE WOMENS CARE PA

Laboratory Demographics

  • CLIA Code: 45D2094974
  • Facility Name: SOLACE WOMENS CARE PA
  • Facility Address: 690 SOUTH LOOP 336 WEST SUITE 220
    CONROE, TX
    ZIP 77304
  • Facility Phone: 936 441-7100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FARLY SEJOUR
  • NPI Number: 1295127355
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 45D2094974
LAB Type Physician Office
Facility Name SOLACE WOMENS CARE PA
Street 690 SOUTH LOOP 336 WEST SUITE 220
City CONROE
State TX
ZIP 77304
Phone 936 441-7100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2025
Certificate Expiration Date 4/27/2027
Facility Type Physician Office
Lab Director FARLY SEJOUR

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