45D2228395 CLIA NUMBER - CLEAR LAKE MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 45D2228395
  • Facility Name: CLEAR LAKE MEDICAL GROUP
  • Facility Address: 6807 EMMETT F LOWRY EXPRESSWAY, STE 300
    TEXAS CITY, TX
    ZIP 77591
  • Facility Phone: 281 486-7900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVEN T. DENNIS II
  • NPI Number: 1164781985
  • Taxonomy: 207ZP0102X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 45D2228395
LAB Type Physician Office
Facility Name CLEAR LAKE MEDICAL GROUP
Street 6807 EMMETT F LOWRY EXPRESSWAY, STE 300
City TEXAS CITY
State TX
ZIP 77591
Phone 281 486-7900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2025
Certificate Expiration Date 6/24/2027
Facility Type Physician Office
Lab Director STEVEN T. DENNIS II

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