10D2027416 CLIA NUMBER - LONESTAR HEART AND VASCULAR CENTER

Laboratory Demographics

  • CLIA Code: 10D2027416
  • Facility Name: LONESTAR HEART AND VASCULAR CENTER
  • Facility Address: 400 HOLDERRIETH BLVD #104
    TOMBALL, TX
    ZIP 77375
  • Facility Phone: 281 255-2000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WAQAR A. KHAN
  • NPI Number: 1386632115
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2027416
LAB Type Physician Office
Facility Name LONESTAR HEART AND VASCULAR CENTER
Street 400 HOLDERRIETH BLVD #104
City TOMBALL
State TX
ZIP 77375
Phone 281 255-2000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2025
Certificate Expiration Date 7/24/2027
Facility Type Physician Office
Lab Director WAQAR A. KHAN

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