45D2241372 CLIA NUMBER - PUSH MEDICAL SERVICES & LABORATORIES

Laboratory Demographics

  • CLIA Code: 45D2241372
  • Facility Name: PUSH MEDICAL SERVICES & LABORATORIES
  • Facility Address: 168 COL ETHEREDGE BLVD
    HUNTSVILLE, TX
    ZIP 77340
  • Facility Phone: 936 439-4608
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: HENRY L. BURKHOLDER
  • NPI Number: 1245803840
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2241372
LAB Type Independent
Facility Name PUSH MEDICAL SERVICES & LABORATORIES
Street 168 COL ETHEREDGE BLVD
City HUNTSVILLE
State TX
ZIP 77340
Phone 936 439-4608
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2023
Certificate Expiration Date 10/26/2025
Facility Type Independent
Lab Director HENRY L. BURKHOLDER

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