45D2291359 CLIA NUMBER - KELSEY-SEYBOLD CLINIC BAY AREA CAMPUS ENDOCRINOLOGY

Laboratory Demographics

  • CLIA Code: 45D2291359
  • Facility Name: KELSEY-SEYBOLD CLINIC BAY AREA CAMPUS ENDOCRINOLOGY
  • Facility Address: 1010 SOUTH PONDS DRIVE 3RD FLOOR
    WEBSTER, TX
    ZIP 77598
  • Facility Phone: 713 442-4300
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: BALAGURU RAVI
  • NPI Number: 1700648037
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2291359
LAB Type Ancillary Testing Site in Health Care Center
Facility Name KELSEY-SEYBOLD CLINIC BAY AREA CAMPUS ENDOCRINOLOGY
Street 1010 SOUTH PONDS DRIVE 3RD FLOOR
City WEBSTER
State TX
ZIP 77598
Phone 713 442-4300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2025
Certificate Expiration Date 10/9/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director BALAGURU RAVI

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