45D1041021 CLIA NUMBER - JEFF J WANG, DO, PA

Laboratory Demographics

  • CLIA Code: 45D1041021
  • Facility Name: JEFF J WANG, DO, PA
  • Facility Address: 12121 RICHMOND AVE, SUITE 321
    HOUSTON, TX
    ZIP 77082
  • Facility Phone: 281 920-3232
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFF J. WANG
  • NPI Number: 1235121625
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1041021
LAB Type Physician Office
Facility Name JEFF J WANG, DO, PA
Street 12121 RICHMOND AVE, SUITE 321
City HOUSTON
State TX
ZIP 77082
Phone 281 920-3232
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2025
Certificate Expiration Date 5/23/2027
Facility Type Physician Office
Lab Director JEFF J. WANG

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