45D2201916 CLIA NUMBER - SUGAR LAND VA OUTPATIENT CLINIC

Laboratory Demographics

  • CLIA Code: 45D2201916
  • Facility Name: SUGAR LAND VA OUTPATIENT CLINIC
  • Facility Address: 1327 LAKE POINTE PARKWAY
    SUGAR LAND, TX
    ZIP 77498
  • Facility Phone: 713 794-7113
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: MICHAEL ITTMANN
  • NPI Number: 1396095717
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 45D2201916
LAB Type Community Clinic
Facility Name SUGAR LAND VA OUTPATIENT CLINIC
Street 1327 LAKE POINTE PARKWAY
City SUGAR LAND
State TX
ZIP 77498
Phone 713 794-7113
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 11/24/2020
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director MICHAEL ITTMANN

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