45D0916799 CLIA NUMBER - VICTOR I LUGO MIRO, MD

Laboratory Demographics

  • CLIA Code: 45D0916799
  • Facility Name: VICTOR I LUGO MIRO, MD
  • Facility Address: 3036 NORTHPARK DRIVE
    KINGWOOD, TX
    ZIP 77339
  • Facility Phone: 713 360-8501
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VICTOR I. LUGO MIRO MD
  • NPI Number: 1629619804
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 45D0916799
LAB Type Physician Office
Facility Name VICTOR I LUGO MIRO, MD
Street 3036 NORTHPARK DRIVE
City KINGWOOD
State TX
ZIP 77339
Phone 713 360-8501
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2024
Certificate Expiration Date 10/10/2026
Facility Type Physician Office
Lab Director VICTOR I. LUGO MIRO MD

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