45D2313183 CLIA NUMBER - COASTAL ER XII LLC PHYSICIANS PREMIER

Laboratory Demographics

  • CLIA Code: 45D2313183
  • Facility Name: COASTAL ER XII LLC PHYSICIANS PREMIER
  • Facility Address: 9422 SPRING GREEN BLVD
    KATY, TX
    ZIP 77494
  • Facility Phone: 346 615-0919
  • Facility Type: Other - FREESTANDING EMERG MED
  • Facility Type: Accreditation
  • Lab Director: MICHAEL NGUYEN
  • NPI Number: 1609697242
  • Taxonomy: 261QE0002X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2313183
LAB Type Other - FREESTANDING EMERG MED
Facility Name COASTAL ER XII LLC PHYSICIANS PREMIER
Street 9422 SPRING GREEN BLVD
City KATY
State TX
ZIP 77494
Phone 346 615-0919
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 10/26/2024
Certificate Expiration Date 10/25/2026
Facility Type Other - FREESTANDING EMERG MED
Lab Director MICHAEL NGUYEN

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