45D2153984 CLIA NUMBER - MEMORIAL HERMANN EMPLOYEE HEALTH TIRR

Laboratory Demographics

  • CLIA Code: 45D2153984
  • Facility Name: MEMORIAL HERMANN EMPLOYEE HEALTH TIRR
  • Facility Address: 1333 MOURSUND
    HOUSTON, TX
    ZIP 77030
  • Facility Phone: 713 338-7942
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANNAMARIA MACALUSO-DAVIDSON
  • NPI Number: 1477728376
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2153984
LAB Type Physician Office
Facility Name MEMORIAL HERMANN EMPLOYEE HEALTH TIRR
Street 1333 MOURSUND
City HOUSTON
State TX
ZIP 77030
Phone 713 338-7942
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2024
Certificate Expiration Date 9/3/2026
Facility Type Physician Office
Lab Director ANNAMARIA MACALUSO-DAVIDSON

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