45D2269154 CLIA NUMBER - MACIE MEDICAL PLLC

Laboratory Demographics

  • CLIA Code: 45D2269154
  • Facility Name: MACIE MEDICAL PLLC
  • Facility Address: 777 S FRY RD STE 206
    KATY, TX
    ZIP 77450
  • Facility Phone: 713 300-3905
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JUDITH C. ANIEKWENA
  • NPI Number: 1093452229
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2269154
LAB Type Physician Office
Facility Name MACIE MEDICAL PLLC
Street 777 S FRY RD STE 206
City KATY
State TX
ZIP 77450
Phone 713 300-3905
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2024
Certificate Expiration Date 9/20/2026
Facility Type Physician Office
Lab Director JUDITH C. ANIEKWENA

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