45D1024768 CLIA NUMBER - CROFOOTMD - CLINIC AND RESEARCH CENTER

Laboratory Demographics

  • CLIA Code: 45D1024768
  • Facility Name: CROFOOTMD - CLINIC AND RESEARCH CENTER
  • Facility Address: 3701 KIRBY DRIVE SUITE 1230
    HOUSTON, TX
    ZIP 77098
  • Facility Phone: 713 526-0005
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: GORDON E. CROFOOT, JR. MD
  • NPI Number: 1588655435
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D1024768
LAB Type Physician Office
Facility Name CROFOOTMD - CLINIC AND RESEARCH CENTER
Street 3701 KIRBY DRIVE SUITE 1230
City HOUSTON
State TX
ZIP 77098
Phone 713 526-0005
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 4/21/2024
Certificate Expiration Date 4/20/2026
Facility Type Physician Office
Lab Director GORDON E. CROFOOT, JR. MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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