45D2319846 CLIA NUMBER - PSM1 MANAGEMENT LLC

Laboratory Demographics

  • CLIA Code: 45D2319846
  • Facility Name: PSM1 MANAGEMENT LLC
  • Facility Address: 2121 WILLIAMS TRACE BLVD SUITE 300
    SUGAR LAND, TX
    ZIP 77478
  • Facility Phone: 281 747-7620
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAWAN PANDYA
  • NPI Number: 1710739719
  • Taxonomy: 207RG0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2319846
LAB Type Physician Office
Facility Name PSM1 MANAGEMENT LLC
Street 2121 WILLIAMS TRACE BLVD SUITE 300
City SUGAR LAND
State TX
ZIP 77478
Phone 281 747-7620
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2025
Certificate Expiration Date 3/6/2027
Facility Type Physician Office
Lab Director PAWAN PANDYA

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