11D2231914 CLIA NUMBER - HOUSTON PRIMARY CARE PHYSICIANS, LLC

Laboratory Demographics

  • CLIA Code: 11D2231914
  • Facility Name: HOUSTON PRIMARY CARE PHYSICIANS, LLC
  • Facility Address: 127 OLD HIGHWAY 96
    BONAIRE, GA
    ZIP 31005
  • Facility Phone: 478 352-7143
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PETER IZZO
  • NPI Number: 1497335194
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2231914
LAB Type Physician Office
Facility Name HOUSTON PRIMARY CARE PHYSICIANS, LLC
Street 127 OLD HIGHWAY 96
City BONAIRE
State GA
ZIP 31005
Phone 478 352-7143
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2025
Certificate Expiration Date 4/18/2027
Facility Type Physician Office
Lab Director PETER IZZO

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