45D2231174 CLIA NUMBER - SULCATA PSYCHIATRY

Laboratory Demographics

  • CLIA Code: 45D2231174
  • Facility Name: SULCATA PSYCHIATRY
  • Facility Address: 12075 SPRING CYPRESS RD SUITE D
    TOMBALL, TX
    ZIP 77377
  • Facility Phone: 281 747-8588
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: STONI L. JOHNSTON
  • NPI Number: 1699362350
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2231174
LAB Type Practitioner Other
Facility Name SULCATA PSYCHIATRY
Street 12075 SPRING CYPRESS RD SUITE D
City TOMBALL
State TX
ZIP 77377
Phone 281 747-8588
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Practitioner Other
Lab Director STONI L. JOHNSTON

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