45D1020802 CLIA NUMBER - EDWARD KUO, MD, PA DBA WASHINGTON AVENUE FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 45D1020802
  • Facility Name: EDWARD KUO, MD, PA DBA WASHINGTON AVENUE FAMILY PRACTICE
  • Facility Address: 4602 WASHINGTON AVENUE, SUITE B
    HOUSTON, TX
    ZIP 77007
  • Facility Phone: 713 861-5505
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDWARD L. KUO MD
  • NPI Number: 1720204522
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1020802
LAB Type Physician Office
Facility Name EDWARD KUO, MD, PA DBA WASHINGTON AVENUE FAMILY PRACTICE
Street 4602 WASHINGTON AVENUE, SUITE B
City HOUSTON
State TX
ZIP 77007
Phone 713 861-5505
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2024
Certificate Expiration Date 1/4/2026
Facility Type Physician Office
Lab Director EDWARD L. KUO MD

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