CLIA lab
CLIA 45D2176424: Village Medical-Fairmont
Pasadena, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D2176424 belongs to Village Medical-Fairmont in Pasadena, TX.
Certificate of Waiver, effective December 13, 2025, expires December 12, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- December 13, 2025
- Certificate expiration
- December 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 13, 2019
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 45D2176424
- Lab name
- Village Medical-Fairmont
- Address
- 4615 Fairmont Pkwy Suite 100, Pasadena, TX 77504
- Phone
- (346) 980-2236
- Fax
- (713) 647-0702
Annual test volume the lab reported
- Waived tests
- 3,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Village Medical-Fairmont in Pasadena?
45D2176424, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Village Medical-Fairmont hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D2176424 expire?
The CMS file lists December 12, 2027 as the certificate expiration date; the certificate took effect December 13, 2025.