45D2329347 CLIA NUMBER - FOUNDATIONS MEDICAL CARE, PLLC

Laboratory Demographics

  • CLIA Code: 45D2329347
  • Facility Name: FOUNDATIONS MEDICAL CARE, PLLC
  • Facility Address: 612 W MAIN ST SUITE 101
    LEAGUE CITY, TX
    ZIP 77573
  • Facility Phone: 832 975-7579
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FELISA D. LESSER
  • NPI Number: 1588402242
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2329347
LAB Type Physician Office
Facility Name FOUNDATIONS MEDICAL CARE, PLLC
Street 612 W MAIN ST SUITE 101
City LEAGUE CITY
State TX
ZIP 77573
Phone 832 975-7579
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2025
Certificate Expiration Date 8/26/2027
Facility Type Physician Office
Lab Director FELISA D. LESSER

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