45D1006440 CLIA NUMBER - GHOLAM A KIANI MD PA

Laboratory Demographics

  • CLIA Code: 45D1006440
  • Facility Name: GHOLAM A KIANI MD PA
  • Facility Address: 5121 N JACKSON RD, STE 10
    MCALLEN, TX
    ZIP 78504
  • Facility Phone: 956 803-0401
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GHOLAM KIANI
  • NPI Number: 1558477513
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 45D1006440
LAB Type Physician Office
Facility Name GHOLAM A KIANI MD PA
Street 5121 N JACKSON RD, STE 10
City MCALLEN
State TX
ZIP 78504
Phone 956 803-0401
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2024
Certificate Expiration Date 6/26/2026
Facility Type Physician Office
Lab Director GHOLAM KIANI

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