45D2330297 CLIA NUMBER - MEMORIAL MRI & DIAGNOSTIC, PLLC

Laboratory Demographics

  • CLIA Code: 45D2330297
  • Facility Name: MEMORIAL MRI & DIAGNOSTIC, PLLC
  • Facility Address: 1202 E NASA PKWY
    HOUSTON, TX
    ZIP 77058
  • Facility Phone: 713 461-3999
  • Facility Type: Other - DIAGNOSTIC IMAGING
  • Facility Type: Waiver
  • Lab Director: CAROL A. WARNER
  • NPI Number: 1952575904
  • Taxonomy: 293D00000X - Physiological Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 45D2330297
LAB Type Other - DIAGNOSTIC IMAGING
Facility Name MEMORIAL MRI & DIAGNOSTIC, PLLC
Street 1202 E NASA PKWY
City HOUSTON
State TX
ZIP 77058
Phone 713 461-3999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2025
Certificate Expiration Date 9/11/2027
Facility Type Other - DIAGNOSTIC IMAGING
Lab Director CAROL A. WARNER

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