45D2263976 CLIA NUMBER - SHINEMED PRIMARY CARE PLLC

Laboratory Demographics

  • CLIA Code: 45D2263976
  • Facility Name: SHINEMED PRIMARY CARE PLLC
  • Facility Address: 440 COBIA DR STE 101
    KATY, TX
    ZIP 77494
  • Facility Phone: 346 338-9360
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EUNYOUNG LEE
  • NPI Number: 1306576087
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2263976
LAB Type Physician Office
Facility Name SHINEMED PRIMARY CARE PLLC
Street 440 COBIA DR STE 101
City KATY
State TX
ZIP 77494
Phone 346 338-9360
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/7/2024
Certificate Expiration Date 7/6/2026
Facility Type Physician Office
Lab Director EUNYOUNG LEE

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