45D0923221 CLIA NUMBER - MASON PARK MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 45D0923221
  • Facility Name: MASON PARK MEDICAL CLINIC
  • Facility Address: 21770 KINGSLAND
    KATY, TX
    ZIP 77450
  • Facility Phone: (281) 646-0740
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: QUYEN X. TRINH
  • NPI Number: 1053592949
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0923221
LAB Type Community Clinic
Facility Name MASON PARK MEDICAL CLINIC
Street 21770 KINGSLAND
City KATY
State TX
ZIP 77450
Phone 2816460740
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 12/18/2024
Certificate Expiration Date 12/17/2026
Facility Type Community Clinic
Lab Director QUYEN X. TRINH

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This page was last updated on: 5/18/2026