45D1020523 CLIA NUMBER - HOUSTON AREA COMMUNITY SVR DBA AVENUE 360 HEALTH & WELLNESS

Laboratory Demographics

  • CLIA Code: 45D1020523
  • Facility Name: HOUSTON AREA COMMUNITY SVR DBA AVENUE 360 HEALTH & WELLNESS
  • Facility Address: 2150 W 18TH STREET, STE 300
    HOUSTON, TX
    ZIP 77008
  • Facility Phone: 713 426-0027
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: CHARLENE FLASH
  • NPI Number: 1639752124
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1020523
LAB Type Federally Qualified Health Center
Facility Name HOUSTON AREA COMMUNITY SVR DBA AVENUE 360 HEALTH & WELLNESS
Street 2150 W 18TH STREET, STE 300
City HOUSTON
State TX
ZIP 77008
Phone 713 426-0027
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 8/23/2025
Certificate Expiration Date 8/22/2027
Facility Type Federally Qualified Health Center
Lab Director CHARLENE FLASH

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