45D2255798 CLIA NUMBER - FALLEN TREE CORP

Laboratory Demographics

  • CLIA Code: 45D2255798
  • Facility Name: FALLEN TREE CORP
  • Facility Address: 11416 RUNNEL RIDGE RD
    MANOR, TX
    ZIP 78653
  • Facility Phone: 512 522-2299
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MONETTE SCHWEITZER
  • NPI Number: 1841467727
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 45D2255798
LAB Type Physician Office
Facility Name FALLEN TREE CORP
Street 11416 RUNNEL RIDGE RD
City MANOR
State TX
ZIP 78653
Phone 512 522-2299
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2024
Certificate Expiration Date 3/16/2026
Facility Type Physician Office
Lab Director MONETTE SCHWEITZER

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