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45D2278240 CLIA NUMBER - LIFELINE URGENT CARE HUMBLE

Laboratory Demographics

CLIA Number: 45D2278240

Facility Name: LIFELINE URGENT CARE HUMBLE

Facility Address:
1702 FM 1960 BYPASS RD E, SUITE B
HUMBLE, TX
ZIP 77338
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Facility Phone Number: 281 771-1166

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1770096281

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 45D2278240
LAB Type Physician Office
Facility Name LIFELINE URGENT CARE HUMBLE
Street 1702 FM 1960 BYPASS RD E, SUITE B
City HUMBLE
State TX
ZIP 77338
Phone 281 771-1166
CertificateType 4
CertificateEffectiveDate 3/14/2023
CertificateExpirationDate 3/13/2025
FacilityType Waiver

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