11D2165489 CLIA NUMBER - HOUSTON PRIMARY CARE PHYSICIANS, LLC

Laboratory Demographics

  • CLIA Code: 11D2165489
  • Facility Name: HOUSTON PRIMARY CARE PHYSICIANS, LLC
  • Facility Address: 1057 MORNINGSIDE DRIVE
    PERRY, GA
    ZIP 31069
  • Facility Phone: 478 218-1801
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANDREW WANG
  • NPI Number: 1598279200
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2165489
LAB Type Physician Office
Facility Name HOUSTON PRIMARY CARE PHYSICIANS, LLC
Street 1057 MORNINGSIDE DRIVE
City PERRY
State GA
ZIP 31069
Phone 478 218-1801
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2025
Certificate Expiration Date 4/29/2027
Facility Type Physician Office
Lab Director ANDREW WANG

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