45D2218326 CLIA NUMBER - CORDIAL CARE FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 45D2218326
  • Facility Name: CORDIAL CARE FAMILY PRACTICE
  • Facility Address: 208 OAK DRIVE SOUTH STE 501
    LAKE JACKSON, TX
    ZIP 77566
  • Facility Phone: 979 267-7722
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AUGNES C. BINU
  • NPI Number: 1184200248
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2218326
LAB Type Physician Office
Facility Name CORDIAL CARE FAMILY PRACTICE
Street 208 OAK DRIVE SOUTH STE 501
City LAKE JACKSON
State TX
ZIP 77566
Phone 979 267-7722
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2025
Certificate Expiration Date 3/25/2027
Facility Type Physician Office
Lab Director AUGNES C. BINU

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