45D2282187 CLIA NUMBER - MEMORIAL HERMANN MEDICAL GROUP UROLOGY KATY

Laboratory Demographics

  • CLIA Code: 45D2282187
  • Facility Name: MEMORIAL HERMANN MEDICAL GROUP UROLOGY KATY
  • Facility Address: 23960 KATY FREEWAY, SUITE 401
    KATY, TX
    ZIP 77494
  • Facility Phone: 713 338-7942
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEEPTI MISHRA
  • NPI Number: 1962438028
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D2282187
LAB Type Physician Office
Facility Name MEMORIAL HERMANN MEDICAL GROUP UROLOGY KATY
Street 23960 KATY FREEWAY, SUITE 401
City KATY
State TX
ZIP 77494
Phone 713 338-7942
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2025
Certificate Expiration Date 5/16/2027
Facility Type Physician Office
Lab Director DEEPTI MISHRA

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