45D2148021 CLIA NUMBER - GENESIS MEDICAL GROUP- PINECROFT

Laboratory Demographics

  • CLIA Code: 45D2148021
  • Facility Name: GENESIS MEDICAL GROUP- PINECROFT
  • Facility Address: 9303 PINECROFT DR STE 340
    THE WOODLANDS, TX
    ZIP 77380
  • Facility Phone: 281 410-4767
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: SYDNEY MYRICK
  • NPI Number: 1427614841
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2148021
LAB Type Independent
Facility Name GENESIS MEDICAL GROUP- PINECROFT
Street 9303 PINECROFT DR STE 340
City THE WOODLANDS
State TX
ZIP 77380
Phone 281 410-4767
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2024
Certificate Expiration Date 5/1/2026
Facility Type Independent
Lab Director SYDNEY MYRICK

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