45D2131531 CLIA NUMBER - PRIME MEDIC PA

Laboratory Demographics

  • CLIA Code: 45D2131531
  • Facility Name: PRIME MEDIC PA
  • Facility Address: 19701 KINGWOOD DR BLDG 10
    KINGWOOD, TX
    ZIP 77339
  • Facility Phone: 281 713-9394
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SREENIVASULU CHERLO
  • NPI Number: 1487192316
  • Taxonomy: 261QU0200X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2131531
LAB Type Physician Office
Facility Name PRIME MEDIC PA
Street 19701 KINGWOOD DR BLDG 10
City KINGWOOD
State TX
ZIP 77339
Phone 281 713-9394
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2025
Certificate Expiration Date 5/30/2027
Facility Type Physician Office
Lab Director SREENIVASULU CHERLO

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