45D0490462 CLIA NUMBER - JOHN MATOCHA MD

Laboratory Demographics

  • CLIA Code: 45D0490462
  • Facility Name: JOHN MATOCHA MD
  • Facility Address: 123 NORTH POST OAK LANE SUITE 420
    HOUSTON, TX
    ZIP 77024
  • Facility Phone: 713 680-2611
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOHN C. MATOCHA
  • NPI Number: 1689754632
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0490462
LAB Type Physician Office
Facility Name JOHN MATOCHA MD
Street 123 NORTH POST OAK LANE SUITE 420
City HOUSTON
State TX
ZIP 77024
Phone 713 680-2611
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 JOHN C. MATOCHA

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