45D2290078 CLIA NUMBER - PROGRESSIVEHEALTH SABIC CITY WEST

Laboratory Demographics

  • CLIA Code: 45D2290078
  • Facility Name: PROGRESSIVEHEALTH SABIC CITY WEST
  • Facility Address: 2500 CITY WEST BLVD
    HOUSTON, TX
    ZIP 77042
  • Facility Phone: 740 612-5124
  • Facility Type: Industrial
  • Facility Type: Waiver
  • Lab Director: KEVIN RAINBOLT
  • NPI Number: 1144319302
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 45D2290078
LAB Type Industrial
Facility Name PROGRESSIVEHEALTH SABIC CITY WEST
Street 2500 CITY WEST BLVD
City HOUSTON
State TX
ZIP 77042
Phone 740 612-5124
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2025
Certificate Expiration Date 9/19/2027
Facility Type Industrial
Lab Director KEVIN RAINBOLT

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