45D0960393 CLIA NUMBER - BISSONNET MEDICAL CENTER, PA

Laboratory Demographics

CLIA Number: 45D0960393

Facility Name: BISSONNET MEDICAL CENTER, PA

Facility Address:
11327 BISSONNET
HOUSTON, TX
ZIP 77099
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Facility Phone Number: 281 575-6700

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1164620415

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	45D0960393
LAB Type	Physician Office
Facility Name	BISSONNET MEDICAL CENTER, PA
Street	11327 BISSONNET
City	HOUSTON
State	TX
ZIP	77099
Phone	281 575-6700
CertificateType	3
CertificateEffectiveDate	5/7/2023
CertificateExpirationDate	5/6/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024