45D2315337 CLIA NUMBER - ALLIANCE MRI MONTGOMERY COUNTY / CAPITOL IMAGING SERVICES

Laboratory Demographics

  • CLIA Code: 45D2315337
  • Facility Name: ALLIANCE MRI MONTGOMERY COUNTY / CAPITOL IMAGING SERVICES
  • Facility Address: 9851 FM 1097, SUITE 190
    WILLIS, TX
    ZIP 77318
  • Facility Phone: 936 254-8402
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: RENE MOYA
  • NPI Number: 1942839527
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 45D2315337
LAB Type Practitioner Other
Facility Name ALLIANCE MRI MONTGOMERY COUNTY / CAPITOL IMAGING SERVICES
Street 9851 FM 1097, SUITE 190
City WILLIS
State TX
ZIP 77318
Phone 936 254-8402
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2024
Certificate Expiration Date 12/10/2026
Facility Type Practitioner Other
Lab Director RENE MOYA

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