45D0712359 CLIA NUMBER - JOSEPH C CHONG MD

Laboratory Demographics

CLIA Number: 45D0712359

Facility Name: JOSEPH C CHONG MD

Facility Address:
9250A BELLAIRE BLVD
HOUSTON, TX
ZIP 77036
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Facility Phone Number: 713 981-0988

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1366592396

Taxonomy: 101YP2500X - Counselor

CLIA Record

Field Name	Field Value
CLIA Number	45D0712359
LAB Type	Physician Office
Facility Name	JOSEPH C CHONG MD
Street	9250A BELLAIRE BLVD
City	HOUSTON
State	TX
ZIP	77036
Phone	713 981-0988
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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