45D0675334 CLIA NUMBER - DIVERSIFIED MEDICAL PRACTICES PA

Laboratory Demographics

  • CLIA Code: 45D0675334
  • Facility Name: DIVERSIFIED MEDICAL PRACTICES PA
  • Facility Address: 6301 RICHMOND AVENUE SUITE 101
    HOUSTON, TX
    ZIP 77057
  • Facility Phone: 713 961-7100
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PATRICIA D. SALVATO MD
  • NPI Number: 1750562575
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0675334
LAB Type Physician Office
Facility Name DIVERSIFIED MEDICAL PRACTICES PA
Street 6301 RICHMOND AVENUE SUITE 101
City HOUSTON
State TX
ZIP 77057
Phone 713 961-7100
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 PATRICIA D. SALVATO MD

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This page was last updated on: 6/4/2025