45D2250811 CLIA NUMBER - REALITY RESUSCITATION LAB

Laboratory Demographics

  • CLIA Code: 45D2250811
  • Facility Name: REALITY RESUSCITATION LAB
  • Facility Address: 7223 SANDSWEPT LN
    HOUSTON, TX
    ZIP 77086
  • Facility Phone: 832 215-8356
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: IVY CARR
  • NPI Number: 1902553308
  • Taxonomy: 227900000X - Respiratory Therapist, Registered

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CLIA Record

Field Name Field Value
CLIA Number 45D2250811
LAB Type Mobile Laboratory
Facility Name REALITY RESUSCITATION LAB
Street 7223 SANDSWEPT LN
City HOUSTON
State TX
ZIP 77086
Phone 832 215-8356
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2024
Certificate Expiration Date 1/28/2026
Facility Type Mobile Laboratory
Lab Director IVY CARR

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