45D2162384 CLIA NUMBER - LONE STAR MEDICAL MANAGEMENT LLC

Laboratory Demographics

  • CLIA Code: 45D2162384
  • Facility Name: LONE STAR MEDICAL MANAGEMENT LLC
  • Facility Address: 17115 RED OAK DRIVE, SUITE 216
    HOUSTON, TX
    ZIP 77090
  • Facility Phone: 832 260-0996
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JANELLE LAROCHELLE
  • NPI Number: 1952334633
  • Taxonomy: 208VP0000X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2162384
LAB Type Practitioner Other
Facility Name LONE STAR MEDICAL MANAGEMENT LLC
Street 17115 RED OAK DRIVE, SUITE 216
City HOUSTON
State TX
ZIP 77090
Phone 832 260-0996
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2025
Certificate Expiration Date 2/20/2027
Facility Type Practitioner Other
Lab Director JANELLE LAROCHELLE

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