45D2177699 CLIA NUMBER - SANDSTONE FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 45D2177699
  • Facility Name: SANDSTONE FAMILY MEDICINE
  • Facility Address: 795 FISH CREEK THOROUGHFARE STE 270
    MONTGOMERY, TX
    ZIP 77316
  • Facility Phone: 936 436-8121
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MEAGAN MITCHELL
  • NPI Number: 1134772270
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2177699
LAB Type Physician Office
Facility Name SANDSTONE FAMILY MEDICINE
Street 795 FISH CREEK THOROUGHFARE STE 270
City MONTGOMERY
State TX
ZIP 77316
Phone 936 436-8121
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/16/2024
Certificate Expiration Date 1/15/2026
Facility Type Physician Office
Lab Director MEAGAN MITCHELL

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