45D2162977 CLIA NUMBER - DAVID P ELLENT, PLLC DBA GENESIS MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 45D2162977
  • Facility Name: DAVID P ELLENT, PLLC DBA GENESIS MEDICAL GROUP
  • Facility Address: 350 KINGWOOD MEDICAL DRIVE STE 250
    KINGWOOD, TX
    ZIP 77339
  • Facility Phone: 281 319-8380
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TONI PATTON
  • NPI Number: 1245777440
  • Taxonomy: 207RH0003X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2162977
LAB Type Physician Office
Facility Name DAVID P ELLENT, PLLC DBA GENESIS MEDICAL GROUP
Street 350 KINGWOOD MEDICAL DRIVE STE 250
City KINGWOOD
State TX
ZIP 77339
Phone 281 319-8380
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Physician Office
Lab Director TONI PATTON

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