45D0489906 CLIA NUMBER - STEPHANIE FULTON MD

Laboratory Demographics

  • CLIA Code: 45D0489906
  • Facility Name: STEPHANIE FULTON MD
  • Facility Address: 1740 W 27TH STREET SUITE 301
    HOUSTON, TX
    ZIP 77008
  • Facility Phone: 713 880-2727
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: STEPHANIE C. FULTON
  • NPI Number: 1518417385
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 45D0489906
LAB Type Physician Office
Facility Name STEPHANIE FULTON MD
Street 1740 W 27TH STREET SUITE 301
City HOUSTON
State TX
ZIP 77008
Phone 713 880-2727
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director STEPHANIE C. FULTON

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