45D1004299 CLIA NUMBER - NORTHEAST FAMILY MEDICINE LOIS Y CHU, DO, PA

Laboratory Demographics

CLIA Number: 45D1004299

Facility Name: NORTHEAST FAMILY MEDICINE LOIS Y CHU, DO, PA

Facility Address:
2714 W LAKE HOUSTON PKWY SUITE 100
KINGWOOD, TX
ZIP 77339
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Facility Phone Number: 281 360-8898

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1366600264

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	45D1004299
LAB Type	Physician Office
Facility Name	NORTHEAST FAMILY MEDICINE LOIS Y CHU, DO, PA
Street	2714 W LAKE HOUSTON PKWY SUITE 100
City	KINGWOOD
State	TX
ZIP	77339
Phone	281 360-8898
CertificateType	3
CertificateEffectiveDate	9/24/2022
CertificateExpirationDate	9/23/2024
FacilityType	PPMP

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