45D2272165 CLIA NUMBER - KELSEY-SEYBOLD CLINIC MAIN NEUROLOGY/INFUSION

Laboratory Demographics

  • CLIA Code: 45D2272165
  • Facility Name: KELSEY-SEYBOLD CLINIC MAIN NEUROLOGY/INFUSION
  • Facility Address: 2727 WEST HOLCOME BLVD
    HOUSTON, TX
    ZIP 77025
  • Facility Phone: 713 442-1540
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: MICHELLE UDAYAMURTHY
  • NPI Number: 1699327734
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2272165
LAB Type Ancillary Testing Site in Health Care Center
Facility Name KELSEY-SEYBOLD CLINIC MAIN NEUROLOGY/INFUSION
Street 2727 WEST HOLCOME BLVD
City HOUSTON
State TX
ZIP 77025
Phone 713 442-1540
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2024
Certificate Expiration Date 11/14/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director MICHELLE UDAYAMURTHY

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