45D2122471 CLIA NUMBER - CLEAR LAKE DERMATOLOGY PLLC

Laboratory Demographics

  • CLIA Code: 45D2122471
  • Facility Name: CLEAR LAKE DERMATOLOGY PLLC
  • Facility Address: 2508 SOUTH GULF FREEWAY SUITE 110
    LEAGUE CITY, TX
    ZIP 77573
  • Facility Phone: 281 940-8982
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: NARIN APISARNTHANARAX
  • NPI Number: 1861743247
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2122471
LAB Type Physician Office
Facility Name CLEAR LAKE DERMATOLOGY PLLC
Street 2508 SOUTH GULF FREEWAY SUITE 110
City LEAGUE CITY
State TX
ZIP 77573
Phone 281 940-8982
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/29/2024
Certificate Expiration Date 11/28/2026
Facility Type Physician Office
Lab Director NARIN APISARNTHANARAX

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