45D0931642 CLIA NUMBER - EL CENTRO DE CORAZON

Laboratory Demographics

  • CLIA Code: 45D0931642
  • Facility Name: EL CENTRO DE CORAZON
  • Facility Address: 412 TELEPHONE RD
    HOUSTON, TX
    ZIP 77023
  • Facility Phone: 713 926-6229
  • Facility Type: Mobile Laboratory
  • Facility Type: Microscopy
  • Lab Director: KAVON YOUNG
  • NPI Number: 1093088692
  • Taxonomy: 261QF0400X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D0931642
LAB Type Mobile Laboratory
Facility Name EL CENTRO DE CORAZON
Street 412 TELEPHONE RD
City HOUSTON
State TX
ZIP 77023
Phone 713 926-6229
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 8/1/2025
Certificate Expiration Date 7/31/2027
Facility Type Mobile Laboratory
Lab Director KAVON YOUNG

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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