45D2187903 CLIA NUMBER - IMMUNOGENOMICS LLC

Laboratory Demographics

  • CLIA Code: 45D2187903
  • Facility Name: IMMUNOGENOMICS LLC
  • Facility Address: 202 INDUSTRIAL BLVD, STE 501
    SUGAR LAND, TX
    ZIP 77478
  • Facility Phone: 832 500-4462
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: KEVIN P. ROSENBLATT
  • NPI Number: 1316555204
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2187903
LAB Type Physician Office
Facility Name IMMUNOGENOMICS LLC
Street 202 INDUSTRIAL BLVD, STE 501
City SUGAR LAND
State TX
ZIP 77478
Phone 832 500-4462
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Physician Office
Lab Director KEVIN P. ROSENBLATT

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: 9/29/2025