45D2320712 CLIA NUMBER - LIFELINE EXPRESS CARE AND INFUSIONS

Laboratory Demographics

  • CLIA Code: 45D2320712
  • Facility Name: LIFELINE EXPRESS CARE AND INFUSIONS
  • Facility Address: 5501 CABRERA DRIVE, UNIT 902
    SUGAR LAND, TX
    ZIP 77479
  • Facility Phone: 516 851-2458
  • Facility Type: Other - URGENT CAREFACILITY
  • Facility Type: Waiver
  • Lab Director: ANJU CHACKO
  • NPI Number: 1265160451
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2320712
LAB Type Other - URGENT CAREFACILITY
Facility Name LIFELINE EXPRESS CARE AND INFUSIONS
Street 5501 CABRERA DRIVE, UNIT 902
City SUGAR LAND
State TX
ZIP 77479
Phone 516 851-2458
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Other - URGENT CAREFACILITY
Lab Director ANJU CHACKO

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