45D0496325 CLIA NUMBER - NIBU MATHEW, MD, PA

Laboratory Demographics

  • CLIA Code: 45D0496325
  • Facility Name: NIBU MATHEW, MD, PA
  • Facility Address: 400 MEDIC LANE SUITE A
    ALVIN, TX
    ZIP 77511
  • Facility Phone: 281 331-9241
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: NIBU MATHEW MD
  • NPI Number: 1538231261
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0496325
LAB Type Physician Office
Facility Name NIBU MATHEW, MD, PA
Street 400 MEDIC LANE SUITE A
City ALVIN
State TX
ZIP 77511
Phone 281 331-9241
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 10/5/2025
Certificate Expiration Date 10/4/2027
Facility Type Physician Office
Lab Director NIBU MATHEW MD

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