45D2173751 CLIA NUMBER - VILLAGEMD OF SOUTHEAST TEXAS, PA

Laboratory Demographics

  • CLIA Code: 45D2173751
  • Facility Name: VILLAGEMD OF SOUTHEAST TEXAS, PA
  • Facility Address: 102 N FRIENDSWOOD DR SUITE 100
    FRIENDSWOOD, TX
    ZIP 77546
  • Facility Phone: 346 646-3726
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: REBECCA BURKE
  • NPI Number: 1699110700
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2173751
LAB Type Physician Office
Facility Name VILLAGEMD OF SOUTHEAST TEXAS, PA
Street 102 N FRIENDSWOOD DR SUITE 100
City FRIENDSWOOD
State TX
ZIP 77546
Phone 346 646-3726
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2025
Certificate Expiration Date 10/17/2027
Facility Type Physician Office
Lab Director REBECCA BURKE

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