45D2148238 CLIA NUMBER - IGNITE MEDICAL RESORT KATY, LLC

Laboratory Demographics

  • CLIA Code: 45D2148238
  • Facility Name: IGNITE MEDICAL RESORT KATY, LLC
  • Facility Address: 1222 PARK WEST GREEN DR
    KATY, TX
    ZIP 77493
  • Facility Phone: 346 762-6300
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BIJI OOMMEN
  • NPI Number: 1841930575
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2148238
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name IGNITE MEDICAL RESORT KATY, LLC
Street 1222 PARK WEST GREEN DR
City KATY
State TX
ZIP 77493
Phone 346 762-6300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2024
Certificate Expiration Date 3/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director BIJI OOMMEN

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