45D2109861 CLIA NUMBER - MEDI WEIGHTLOSS

Laboratory Demographics

  • CLIA Code: 45D2109861
  • Facility Name: MEDI WEIGHTLOSS
  • Facility Address: 22167 WESTHEIMER PKWY STE 105
    KATY, TX
    ZIP 77450
  • Facility Phone: 281 305-0735
  • Facility Type: Other - WEIGHTLOSS
  • Facility Type: Waiver
  • Lab Director: DANA C. COLEMAN
  • NPI Number: 1831675396
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2109861
LAB Type Other - WEIGHTLOSS
Facility Name MEDI WEIGHTLOSS
Street 22167 WESTHEIMER PKWY STE 105
City KATY
State TX
ZIP 77450
Phone 281 305-0735
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2024
Certificate Expiration Date 3/2/2026
Facility Type Other - WEIGHTLOSS
Lab Director DANA C. COLEMAN

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