45D2123009 CLIA NUMBER - STEPHEN F AUSTIN CHC

Laboratory Demographics

  • CLIA Code: 45D2123009
  • Facility Name: STEPHEN F AUSTIN CHC
  • Facility Address: 1612 CALLAWAY
    ALVIN, TX
    ZIP 77511
  • Facility Phone: 281 824-1480
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: YVETTE M. POINDEXTER
  • NPI Number: 1235791195
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 45D2123009
LAB Type Federally Qualified Health Center
Facility Name STEPHEN F AUSTIN CHC
Street 1612 CALLAWAY
City ALVIN
State TX
ZIP 77511
Phone 281 824-1480
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2024
Certificate Expiration Date 12/11/2026
Facility Type Federally Qualified Health Center
Lab Director YVETTE M. POINDEXTER

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