45D2111689 CLIA NUMBER - AMBULATORY SURGERY CENTER AT LBJ

Laboratory Demographics

  • CLIA Code: 45D2111689
  • Facility Name: AMBULATORY SURGERY CENTER AT LBJ
  • Facility Address: 5550 KELLEY ST 3RD FLOOR
    HOUSTON, TX
    ZIP 77026
  • Facility Phone: 713 566-6590
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SCOTT D. PERRY
  • NPI Number: 1548400229
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2111689
LAB Type Ambulatory Surgery Center
Facility Name AMBULATORY SURGERY CENTER AT LBJ
Street 5550 KELLEY ST 3RD FLOOR
City HOUSTON
State TX
ZIP 77026
Phone 713 566-6590
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2024
Certificate Expiration Date 4/11/2026
Facility Type Ambulatory Surgery Center
Lab Director SCOTT D. PERRY

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