45D2291463 CLIA NUMBER - KELSEY-SEYBOLD CLINIC SPRINGWOODS VILLAGE DERMATOLOGY MOHS

Laboratory Demographics

  • CLIA Code: 45D2291463
  • Facility Name: KELSEY-SEYBOLD CLINIC SPRINGWOODS VILLAGE DERMATOLOGY MOHS
  • Facility Address: 22407 HOLZWARTH
    SPRING, TX
    ZIP 77389
  • Facility Phone: 713 442-0999
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Certificate of Compliance
  • Lab Director: MOHSIN MIR
  • NPI Number: 1124894423
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2291463
LAB Type Ancillary Testing Site in Health Care Center
Facility Name KELSEY-SEYBOLD CLINIC SPRINGWOODS VILLAGE DERMATOLOGY MOHS
Street 22407 HOLZWARTH
City SPRING
State TX
ZIP 77389
Phone 713 442-0999
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/8/2024
Certificate Expiration Date 2/7/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director MOHSIN MIR

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