45D2302045 CLIA NUMBER - ADVANCED CRENSHAW SURGICAL CENTER

Laboratory Demographics

  • CLIA Code: 45D2302045
  • Facility Name: ADVANCED CRENSHAW SURGICAL CENTER
  • Facility Address: 5150 CRENSHAW RD H 100
    PASADENA, TX
    ZIP 77505
  • Facility Phone: 832 230-0836
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: ERIC M. ALCARAZ
  • NPI Number: 1962872358
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 45D2302045
LAB Type Ancillary Testing Site in Health Care Center
Facility Name ADVANCED CRENSHAW SURGICAL CENTER
Street 5150 CRENSHAW RD H 100
City PASADENA
State TX
ZIP 77505
Phone 832 230-0836
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2024
Certificate Expiration Date 4/2/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director ERIC M. ALCARAZ

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