45D2299187 CLIA NUMBER - PROVIDER ON DEMAND

Laboratory Demographics

  • CLIA Code: 45D2299187
  • Facility Name: PROVIDER ON DEMAND
  • Facility Address: 3809 ATASCOCITA RD SUITE 150
    HUMBLE, TX
    ZIP 77396
  • Facility Phone: 737 747-2200
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: BRETT ALAN MARVEL
  • NPI Number: 1013770148
  • Taxonomy: 207P00000X - Emergency Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2299187
LAB Type Community Clinic
Facility Name PROVIDER ON DEMAND
Street 3809 ATASCOCITA RD SUITE 150
City HUMBLE
State TX
ZIP 77396
Phone 737 747-2200
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 Community Clinic
Lab Director BRETT ALAN MARVEL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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