45D2211670 CLIA NUMBER - BRAZOS URGENT CARE

Laboratory Demographics

  • CLIA Code: 45D2211670
  • Facility Name: BRAZOS URGENT CARE
  • Facility Address: 3600 FM 1488 RD STE 200
    CONROE, TX
    ZIP 77384
  • Facility Phone: 713 732-4677
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BABATUNDE A. OTINWA
  • NPI Number: 1760919880
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2211670
LAB Type Physician Office
Facility Name BRAZOS URGENT CARE
Street 3600 FM 1488 RD STE 200
City CONROE
State TX
ZIP 77384
Phone 713 732-4677
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2025
Certificate Expiration Date 1/28/2027
Facility Type Physician Office
Lab Director BABATUNDE A. OTINWA

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