45D2120335 CLIA NUMBER - TGI BROOKSTREET INC

Laboratory Demographics

  • CLIA Code: 45D2120335
  • Facility Name: TGI BROOKSTREET INC
  • Facility Address: 12808 W AIRPORT BLVD, STE 327
    SUGAR LAND, TX
    ZIP 77478
  • Facility Phone: 832 491-7578
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: OLUMIDE ADEBOWALE
  • NPI Number: 1184077042
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D2120335
LAB Type Home Health Agency
Facility Name TGI BROOKSTREET INC
Street 12808 W AIRPORT BLVD, STE 327
City SUGAR LAND
State TX
ZIP 77478
Phone 832 491-7578
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2024
Certificate Expiration Date 10/13/2026
Facility Type Home Health Agency
Lab Director OLUMIDE ADEBOWALE

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