45D1000292 CLIA NUMBER - CORNELIUS A WILSON

Laboratory Demographics

  • CLIA Code: 45D1000292
  • Facility Name: CORNELIUS A WILSON
  • Facility Address: 902 NORMANDY STREET SUITE 100
    HOUSTON, TX
    ZIP 77015
  • Facility Phone: 713 450-4455
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: CORNELIUS A. WILSON
  • NPI Number: 1215032586
  • Taxonomy: 207RA0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1000292
LAB Type Other
Facility Name CORNELIUS A WILSON
Street 902 NORMANDY STREET SUITE 100
City HOUSTON
State TX
ZIP 77015
Phone 713 450-4455
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2024
Certificate Expiration Date 9/13/2026
Facility Type Other
Lab Director CORNELIUS A. WILSON

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