45D2156731 CLIA NUMBER - WOODLANDS DERMATOLOGY ASSOCIATES, THE

Laboratory Demographics

CLIA Number: 45D2156731

Facility Name: WOODLANDS DERMATOLOGY ASSOCIATES, THE

Facility Address:
21300 EVA ST, SUITE 200
MONTGOMERY, TX
ZIP 77356
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Facility Phone Number: 281 363-5050

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1922519727

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CLIA Record

Field Name	Field Value
CLIA Number	45D2156731
LAB Type	Physician Office
Facility Name	WOODLANDS DERMATOLOGY ASSOCIATES, THE
Street	21300 EVA ST, SUITE 200
City	MONTGOMERY
State	TX
ZIP	77356
Phone	281 363-5050
CertificateType	3
CertificateEffectiveDate	10/24/2022
CertificateExpirationDate	10/23/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024