45D2178247 CLIA NUMBER - VISION PARK SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 45D2178247
  • Facility Name: VISION PARK SURGERY CENTER LLC
  • Facility Address: 111 VISION PARK SURGERY ENTER
    SHENANDOAH, TX
    ZIP 77384
  • Facility Phone: 281 845-3378
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MARTHA SMIKAL
  • NPI Number: 1255726758
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 45D2178247
LAB Type Ambulatory Surgery Center
Facility Name VISION PARK SURGERY CENTER LLC
Street 111 VISION PARK SURGERY ENTER
City SHENANDOAH
State TX
ZIP 77384
Phone 281 845-3378
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2024
Certificate Expiration Date 1/28/2026
Facility Type Ambulatory Surgery Center
Lab Director MARTHA SMIKAL

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