45D2173447 CLIA NUMBER - CLEMENTINE THE WOODLANDS

Laboratory Demographics

  • CLIA Code: 45D2173447
  • Facility Name: CLEMENTINE THE WOODLANDS
  • Facility Address: 15252 SADDLEWOOD DR
    CONROE, TX
    ZIP 77384
  • Facility Phone: 936 217-9804
  • Facility Type: Other - GENERAL RESIDENTIAL
  • Facility Type: Waiver
  • Lab Director: KATHLEEN MOLLY MCSHANE
  • NPI Number: 1245704915
  • Taxonomy: 261QM0855X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2173447
LAB Type Other - GENERAL RESIDENTIAL
Facility Name CLEMENTINE THE WOODLANDS
Street 15252 SADDLEWOOD DR
City CONROE
State TX
ZIP 77384
Phone 936 217-9804
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2025
Certificate Expiration Date 10/13/2027
Facility Type Other - GENERAL RESIDENTIAL
Lab Director KATHLEEN MOLLY MCSHANE

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