45D2178313 CLIA NUMBER - CHRIS SPARKMAN MD PA

Laboratory Demographics

  • CLIA Code: 45D2178313
  • Facility Name: CHRIS SPARKMAN MD PA
  • Facility Address: 121 VISION PARK BLVD STE 110
    SHENANDOAH, TX
    ZIP 77384
  • Facility Phone: 832 878-5578
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRIS A. SPARKMAN
  • NPI Number: 1073618104
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2178313
LAB Type Physician Office
Facility Name CHRIS SPARKMAN MD PA
Street 121 VISION PARK BLVD STE 110
City SHENANDOAH
State TX
ZIP 77384
Phone 832 878-5578
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2024
Certificate Expiration Date 1/29/2026
Facility Type Physician Office
Lab Director CHRIS A. SPARKMAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025