45D1002980 CLIA NUMBER - MIDTOWN DOCTORS GROUP, PA

Laboratory Demographics

CLIA Number: 45D1002980

Facility Name: MIDTOWN DOCTORS GROUP, PA

Facility Address:
3918 LEELAND
HOUSTON, TX
ZIP 77003
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Facility Phone Number: 713 528-3400

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1730266099

Taxonomy: 261QA1903X - Clinic/Center

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
CertificateType 3
CertificateEffectiveDate 8/20/2022
CertificateExpirationDate 8/19/2024
FacilityType PPMP

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