45D2172112 CLIA NUMBER - DEERBROOK ASC, LLC

Laboratory Demographics

  • CLIA Code: 45D2172112
  • Facility Name: DEERBROOK ASC, LLC
  • Facility Address: 18450 HWY 59, STE 101-B
    HUMBLE, TX
    ZIP 77338
  • Facility Phone: 281 446-6656
  • Facility Type: Other - CATH LAB
  • Facility Type: Accreditation
  • Lab Director: RICKY GANIM
  • NPI Number: 1356718563
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 45D2172112
LAB Type Other - CATH LAB
Facility Name DEERBROOK ASC, LLC
Street 18450 HWY 59, STE 101-B
City HUMBLE
State TX
ZIP 77338
Phone 281 446-6656
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type Other - CATH LAB
Lab Director RICKY GANIM

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