45D2275188 CLIA NUMBER - MONTGOMERY RAPIDCARE ER LLC

Laboratory Demographics

  • CLIA Code: 45D2275188
  • Facility Name: MONTGOMERY RAPIDCARE ER LLC
  • Facility Address: 18057 TX-105 STE 220
    MONTGOMERY, TX
    ZIP 77356
  • Facility Phone: 281 915-1630
  • Facility Type: Other - FREESTANDING ER
  • Facility Type: Accreditation
  • Lab Director: DR. IKE C. ILOCHONWU
  • NPI Number: 1619354693
  • Taxonomy: 302F00000X - Exclusive Provider Organization

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CLIA Record

Field Name Field Value
CLIA Number 45D2275188
LAB Type Other - FREESTANDING ER
Facility Name MONTGOMERY RAPIDCARE ER LLC
Street 18057 TX-105 STE 220
City MONTGOMERY
State TX
ZIP 77356
Phone 281 915-1630
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/27/2024
Certificate Expiration Date 2/26/2026
Facility Type Other - FREESTANDING ER
Lab Director DR. IKE C. ILOCHONWU

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