45D2124113 CLIA NUMBER - NORTH LAKES PAIN CONSULTANTS

Laboratory Demographics

  • CLIA Code: 45D2124113
  • Facility Name: NORTH LAKES PAIN CONSULTANTS
  • Facility Address: 1020 RIVERWOOD COURT SUITE 200
    CONROE, TX
    ZIP 77304
  • Facility Phone: 936 756-3459
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN M. SIMS
  • NPI Number: 1316468952
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2124113
LAB Type Physician Office
Facility Name NORTH LAKES PAIN CONSULTANTS
Street 1020 RIVERWOOD COURT SUITE 200
City CONROE
State TX
ZIP 77304
Phone 936 756-3459
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2025
Certificate Expiration Date 1/9/2027
Facility Type Physician Office
Lab Director STEPHEN M. SIMS

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