45D2123993 CLIA NUMBER - SPRING BRANCH COMMUNITY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 45D2123993
  • Facility Name: SPRING BRANCH COMMUNITY HEALTH CENTER
  • Facility Address: 1905 JACQUELYN RD, STE 101
    HOUSTON, TX
    ZIP 77055
  • Facility Phone: 713 462-6545
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: DAVID KRUSLESKI
  • NPI Number: 1255812509
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2123993
LAB Type Federally Qualified Health Center
Facility Name SPRING BRANCH COMMUNITY HEALTH CENTER
Street 1905 JACQUELYN RD, STE 101
City HOUSTON
State TX
ZIP 77055
Phone 713 462-6545
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 8/7/2025
Certificate Expiration Date 8/6/2027
Facility Type Federally Qualified Health Center
Lab Director DAVID KRUSLESKI

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