45D2260642 CLIA NUMBER - KATY SUPPORTIVE MEDICINE

Laboratory Demographics

  • CLIA Code: 45D2260642
  • Facility Name: KATY SUPPORTIVE MEDICINE
  • Facility Address: 205 BELLA KATY DRIVE
    KATY, TX
    ZIP 77494
  • Facility Phone: 281 665-4030
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GAIL DONLEY-URITA
  • NPI Number: 1346645066
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2260642
LAB Type Physician Office
Facility Name KATY SUPPORTIVE MEDICINE
Street 205 BELLA KATY DRIVE
City KATY
State TX
ZIP 77494
Phone 281 665-4030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2025
Certificate Expiration Date 2/19/2027
Facility Type Physician Office
Lab Director GAIL DONLEY-URITA

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