45D0495129 CLIA NUMBER - ANDREAS C NIKOLAIDIS MD, PA

Laboratory Demographics

  • CLIA Code: 45D0495129
  • Facility Name: ANDREAS C NIKOLAIDIS MD, PA
  • Facility Address: 24375 FM 1314
    PORTER, TX
    ZIP 77365
  • Facility Phone: 281 354-5663
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANDREAS C. NIKOLAIDIS
  • NPI Number: 1528021888
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D0495129
LAB Type Physician Office
Facility Name ANDREAS C NIKOLAIDIS MD, PA
Street 24375 FM 1314
City PORTER
State TX
ZIP 77365
Phone 281 354-5663
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director ANDREAS C. NIKOLAIDIS

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