45D2275802 CLIA NUMBER - WILLIS SURGERY CENTER

Laboratory Demographics

CLIA Number: 45D2275802

Facility Name: WILLIS SURGERY CENTER

Facility Address:
9863 FM 1097 RD W
WILLIS, TX
ZIP 77318
Get Directions

Facility Phone Number: 936 228-8955

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1639804248

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 45D2275802
LAB Type Ambulatory Surgery Center
Facility Name WILLIS SURGERY CENTER
Street 9863 FM 1097 RD W
City WILLIS
State TX
ZIP 77318
Phone 936 228-8955
CertificateType 4
CertificateEffectiveDate 1/27/2023
CertificateExpirationDate 1/26/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024