45D0490653 CLIA NUMBER - MCGOVERN ALLERGY & ASTHMA CLINIC, PA

Laboratory Demographics

CLIA Number: 45D0490653

Facility Name: MCGOVERN ALLERGY & ASTHMA CLINIC, PA

Facility Address:
4710 BELLAIRE BLVD,SUITE 200
BELLAIRE, TX
ZIP 77401
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Facility Phone Number: 713 662-5573

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1194795450

Taxonomy: 207KI0005X - Allergy & Immunology
An allergy and immunology physician who specializes in clinical and laboratory immunology disease management. Source: National Uniform Claim Committee, 2022 Additional Resources: A certification was, but is no longer, issued by the American Board of Allergy and Immunology.

CLIA Record

Field Name	Field Value
CLIA Number	45D0490653
LAB Type	Physician Office
Facility Name	MCGOVERN ALLERGY & ASTHMA CLINIC, PA
Street	4710 BELLAIRE BLVD,SUITE 200
City	BELLAIRE
State	TX
ZIP	77401
Phone	713 662-5573
CertificateType	2
CertificateEffectiveDate	1/23/2024
CertificateExpirationDate	1/22/2026
FacilityType	Compliance

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This page was last updated on: 4/23/2024