45D0907342 CLIA NUMBER - BAYLOR ST LUKE'S MEDICAL GROUP- TOMBALL PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 45D0907342
  • Facility Name: BAYLOR ST LUKE'S MEDICAL GROUP- TOMBALL PRIMARY CARE
  • Facility Address: 602 LAWRENCE ST
    TOMBALL, TX
    ZIP 77375
  • Facility Phone: 832 534-7881
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: THINH X. HO MD
  • NPI Number: 1295789337
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0907342
LAB Type Physician Office
Facility Name BAYLOR ST LUKE'S MEDICAL GROUP- TOMBALL PRIMARY CARE
Street 602 LAWRENCE ST
City TOMBALL
State TX
ZIP 77375
Phone 832 534-7881
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 10/22/2024
Certificate Expiration Date 10/21/2026
Facility Type Physician Office
Lab Director THINH X. HO MD

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