45D2158436 CLIA NUMBER - ASPIRE HOSPITAL LLC

Laboratory Demographics

  • CLIA Code: 45D2158436
  • Facility Name: ASPIRE HOSPITAL LLC
  • Facility Address: 540 IH 45 SOUTH SUITE C
    HUNTSVILLE, TX
    ZIP 77340
  • Facility Phone: 936 647-3481
  • Facility Type: Other - DIAGNOSTIC IMAGING
  • Facility Type: Waiver
  • Lab Director: DIMITRIOS S. MANTZOROS
  • NPI Number: 1114340080
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 45D2158436
LAB Type Other - DIAGNOSTIC IMAGING
Facility Name ASPIRE HOSPITAL LLC
Street 540 IH 45 SOUTH SUITE C
City HUNTSVILLE
State TX
ZIP 77340
Phone 936 647-3481
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/28/2024
Certificate Expiration Date 11/27/2026
Facility Type Other - DIAGNOSTIC IMAGING
Lab Director DIMITRIOS S. MANTZOROS

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