45D0955125 CLIA NUMBER - INTERNAL MEDICINE DIAGNOSTIC CENTER PA

Laboratory Demographics

  • CLIA Code: 45D0955125
  • Facility Name: INTERNAL MEDICINE DIAGNOSTIC CENTER PA
  • Facility Address: 18550 N 6TH ST
    MAGNOLIA, TX
    ZIP 77354
  • Facility Phone: 281 252-8600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HUNAID DOLLAR
  • NPI Number: 1982601472
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0955125
LAB Type Physician Office
Facility Name INTERNAL MEDICINE DIAGNOSTIC CENTER PA
Street 18550 N 6TH ST
City MAGNOLIA
State TX
ZIP 77354
Phone 281 252-8600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2024
Certificate Expiration Date 12/17/2026
Facility Type Physician Office
Lab Director HUNAID DOLLAR

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