45D2303972 CLIA NUMBER - FAIRMONT URGENT CARE

Laboratory Demographics

  • CLIA Code: 45D2303972
  • Facility Name: FAIRMONT URGENT CARE
  • Facility Address: 400 W FAIRMONT PKWY STE A
    LA PORTE, TX
    ZIP 77571
  • Facility Phone: (346) 222-7370
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ASHU SYAL
  • NPI Number: 1710664826
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2303972
LAB Type Physician Office
Facility Name FAIRMONT URGENT CARE
Street 400 W FAIRMONT PKWY STE A
City LA PORTE
State TX
ZIP 77571
Phone 3462227370
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2026
Certificate Expiration Date 5/2/2028
Facility Type Physician Office
Lab Director ASHU SYAL

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This page was last updated on: 5/15/2026