45D0934233 CLIA NUMBER - MUSTAFA MANDVIWALA MD PA

Laboratory Demographics

  • CLIA Code: 45D0934233
  • Facility Name: MUSTAFA MANDVIWALA MD PA
  • Facility Address: 13406 MEDICAL COMPLEX DRIVE SUITE 110
    TOMBALL, TX
    ZIP 77375
  • Facility Phone: 281 351-6250
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MUSTAFA MANDVIWALA
  • NPI Number: 1982606448
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0934233
LAB Type Physician Office
Facility Name MUSTAFA MANDVIWALA MD PA
Street 13406 MEDICAL COMPLEX DRIVE SUITE 110
City TOMBALL
State TX
ZIP 77375
Phone 281 351-6250
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2025
Certificate Expiration Date 9/30/2027
Facility Type Physician Office
Lab Director MUSTAFA MANDVIWALA

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