45D2254369 CLIA NUMBER - SPRING BRANCH CHC - MEMORIAL CLINIC

Laboratory Demographics

  • CLIA Code: 45D2254369
  • Facility Name: SPRING BRANCH CHC - MEMORIAL CLINIC
  • Facility Address: 902 FROSTWOOD DR STE 108
    HOUSTON, TX
    ZIP 77024
  • Facility Phone: 713 462-6565
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: DAVID W. KRUSLESKI
  • NPI Number: 1831225002
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 45D2254369
LAB Type Federally Qualified Health Center
Facility Name SPRING BRANCH CHC - MEMORIAL CLINIC
Street 902 FROSTWOOD DR STE 108
City HOUSTON
State TX
ZIP 77024
Phone 713 462-6565
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/2/2024
Certificate Expiration Date 3/1/2026
Facility Type Federally Qualified Health Center
Lab Director DAVID W. KRUSLESKI

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