45D0679774 CLIA NUMBER - 1960 PHYSICIAN ASSOCIATES

Laboratory Demographics

  • CLIA Code: 45D0679774
  • Facility Name: 1960 PHYSICIAN ASSOCIATES
  • Facility Address: 837 CYPRESS CREEK PKWY , SUITE 105
    HOUSTON, TX
    ZIP 77090
  • Facility Phone: 281 586-3888
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VICTOR ESCOBAR
  • NPI Number: 1215391941
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0679774
LAB Type Physician Office
Facility Name 1960 PHYSICIAN ASSOCIATES
Street 837 CYPRESS CREEK PKWY , SUITE 105
City HOUSTON
State TX
ZIP 77090
Phone 281 586-3888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/5/2024
Certificate Expiration Date 7/4/2026
Facility Type Physician Office
Lab Director VICTOR ESCOBAR

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