45D1020754 CLIA NUMBER - JIMIN WANG, MD

Laboratory Demographics

  • CLIA Code: 45D1020754
  • Facility Name: JIMIN WANG, MD
  • Facility Address: 9888 BELLAIRE BLVD, SUITE 122
    HOUSTON, TX
    ZIP 77036
  • Facility Phone: 734 272-6442
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JIMIN WANG
  • NPI Number: 1114106887
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1020754
LAB Type Physician Office
Facility Name JIMIN WANG, MD
Street 9888 BELLAIRE BLVD, SUITE 122
City HOUSTON
State TX
ZIP 77036
Phone 734 272-6442
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/31/2023
Certificate Expiration Date 12/30/2025
Facility Type Physician Office
Lab Director JIMIN WANG

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