45D0679676 CLIA NUMBER - HILLCROFT MEDICAL CLINIC ASSOCIATION

Laboratory Demographics

CLIA Number: 45D0679676

Facility Name: HILLCROFT MEDICAL CLINIC ASSOCIATION

Facility Address:
2450 FONDREN SUITE 102
HOUSTON, TX
ZIP 77063
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Facility Phone Number: 713 273-5856

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1588605430

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 45D0679676
LAB Type Physician Office
Facility Name HILLCROFT MEDICAL CLINIC ASSOCIATION
Street 2450 FONDREN SUITE 102
City HOUSTON
State TX
ZIP 77063
Phone 713 273-5856
CertificateType 4
CertificateEffectiveDate 4/23/2023
CertificateExpirationDate 4/22/2025
FacilityType Waiver

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