45D2099522 CLIA NUMBER - BRAZOS PRIMARY CARE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 45D2099522
  • Facility Name: BRAZOS PRIMARY CARE ASSOCIATES
  • Facility Address: 188 ABNER JACKSON PARKWAY
    LAKE JACKSON, TX
    ZIP 77566
  • Facility Phone: 214 886-3901
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FRANK E. OKOSUN
  • NPI Number: 1366812760
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2099522
LAB Type Physician Office
Facility Name BRAZOS PRIMARY CARE ASSOCIATES
Street 188 ABNER JACKSON PARKWAY
City LAKE JACKSON
State TX
ZIP 77566
Phone 214 886-3901
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Physician Office
Lab Director FRANK E. OKOSUN

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