45D2292264 CLIA NUMBER - AEG TEXAS PROFESSIONAL PLLC D/B/A FAMILY VISION CENTER ATASCOSITA

Laboratory Demographics

  • CLIA Code: 45D2292264
  • Facility Name: AEG TEXAS PROFESSIONAL PLLC D/B/A FAMILY VISION CENTER ATASCOSITA
  • Facility Address: 18700 W LAKE HOUSTON PKWY, STE B101
    HUMBLE, TX
    ZIP 77346
  • Facility Phone: 832 551-2020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK ANDERSON
  • NPI Number: 1649076993
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 45D2292264
LAB Type Physician Office
Facility Name AEG TEXAS PROFESSIONAL PLLC D/B/A FAMILY VISION CENTER ATASCOSITA
Street 18700 W LAKE HOUSTON PKWY, STE B101
City HUMBLE
State TX
ZIP 77346
Phone 832 551-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2025
Certificate Expiration Date 10/22/2027
Facility Type Physician Office
Lab Director MARK ANDERSON

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