45D2123592 CLIA NUMBER - CONROE ENDOCRINOLOGY CENTER

Laboratory Demographics

  • CLIA Code: 45D2123592
  • Facility Name: CONROE ENDOCRINOLOGY CENTER
  • Facility Address: 150 PINE FOREST DR STE 103
    SHENANDOAH, TX
    ZIP 77384
  • Facility Phone: 936 755-4238
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KATERYNA KOMAROVSKIY
  • NPI Number: 1366984288
  • Taxonomy: 207RE0101X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2123592
LAB Type Physician Office
Facility Name CONROE ENDOCRINOLOGY CENTER
Street 150 PINE FOREST DR STE 103
City SHENANDOAH
State TX
ZIP 77384
Phone 936 755-4238
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2024
Certificate Expiration Date 12/26/2026
Facility Type Physician Office
Lab Director KATERYNA KOMAROVSKIY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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