45D2299166 CLIA NUMBER - RIVERSTONE FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 45D2299166
  • Facility Name: RIVERSTONE FAMILY MEDICINE
  • Facility Address: 7070 KNIGHTS COURT, UNIT 1402
    MISSOURI CITY, TX
    ZIP 77459
  • Facility Phone: 281 778-9420
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SHUBHA P. SHETTY
  • NPI Number: 1992078133
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2299166
LAB Type Physician Office
Facility Name RIVERSTONE FAMILY MEDICINE
Street 7070 KNIGHTS COURT, UNIT 1402
City MISSOURI CITY
State TX
ZIP 77459
Phone 281 778-9420
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2024
Certificate Expiration Date 2/13/2026
Facility Type Physician Office
Lab Director DR. SHUBHA P. SHETTY

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