45D2298515 CLIA NUMBER - AIRLINE SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 45D2298515
  • Facility Name: AIRLINE SURGERY CENTER LLC
  • Facility Address: 1624 AIRLINE DRIVE 3RD FLOOR
    HOUSTON, TX
    ZIP 77009
  • Facility Phone: 832 810-7240
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: CALVIN JUNG
  • NPI Number: 1851176838
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2298515
LAB Type Ambulatory Surgery Center
Facility Name AIRLINE SURGERY CENTER LLC
Street 1624 AIRLINE DRIVE 3RD FLOOR
City HOUSTON
State TX
ZIP 77009
Phone 832 810-7240
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2024
Certificate Expiration Date 2/1/2026
Facility Type Ambulatory Surgery Center
Lab Director CALVIN JUNG

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