45D0689447 CLIA NUMBER - BRIAN C DOUGLAS MD

Laboratory Demographics

  • CLIA Code: 45D0689447
  • Facility Name: BRIAN C DOUGLAS MD
  • Facility Address: 6624 FANNIN ST SUITE 2560
    HOUSTON, TX
    ZIP 77030
  • Facility Phone: 713 796-0062
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRIAN C. DOUGLAS MD
  • NPI Number: 1245352814
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0689447
LAB Type Physician Office
Facility Name BRIAN C DOUGLAS MD
Street 6624 FANNIN ST SUITE 2560
City HOUSTON
State TX
ZIP 77030
Phone 713 796-0062
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director BRIAN C. DOUGLAS MD

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