45D1002980 CLIA NUMBER - MIDTOWN DOCTORS GROUP, PA

Laboratory Demographics

  • CLIA Code: 45D1002980
  • Facility Name: MIDTOWN DOCTORS GROUP, PA
  • Facility Address: 3918 LEELAND
    HOUSTON, TX
    ZIP 77003
  • Facility Phone: 713 528-3400
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RYAN T. THAI
  • NPI Number: 1730266099
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1002980
LAB Type Physician Office
Facility Name MIDTOWN DOCTORS GROUP, PA
Street 3918 LEELAND
City HOUSTON
State TX
ZIP 77003
Phone 713 528-3400
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 8/20/2024
Certificate Expiration Date 8/19/2026
Facility Type Physician Office
Lab Director RYAN T. THAI

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