45D0980924 CLIA NUMBER - PROVIDENCE FAMILY PRACTICE, PA

Laboratory Demographics

  • CLIA Code: 45D0980924
  • Facility Name: PROVIDENCE FAMILY PRACTICE, PA
  • Facility Address: 9798 BELLAIRE BLVD, SUITE D
    HOUSTON, TX
    ZIP 77036
  • Facility Phone: 713 270-7224
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SUSAN T. LEE
  • NPI Number: 1386273092
  • Taxonomy: 253Z00000X - In Home Supportive Care

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D0980924
LAB Type Physician Office
Facility Name PROVIDENCE FAMILY PRACTICE, PA
Street 9798 BELLAIRE BLVD, SUITE D
City HOUSTON
State TX
ZIP 77036
Phone 713 270-7224
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 12/7/2024
Certificate Expiration Date 12/6/2026
Facility Type Physician Office
Lab Director SUSAN T. LEE

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