45D2319371 CLIA NUMBER - PATCHES WEST, LLC

Laboratory Demographics

  • CLIA Code: 45D2319371
  • Facility Name: PATCHES WEST, LLC
  • Facility Address: 7830 W GRAND PARKWAY S STE 150
    RICHMOND, TX
    ZIP 77406
  • Facility Phone: 602 385-0421
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. TERRENCE D. ANDERSON
  • NPI Number: 1548079387
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2319371
LAB Type Ambulatory Surgery Center
Facility Name PATCHES WEST, LLC
Street 7830 W GRAND PARKWAY S STE 150
City RICHMOND
State TX
ZIP 77406
Phone 602 385-0421
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2025
Certificate Expiration Date 2/26/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. TERRENCE D. ANDERSON

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