45D1041224 CLIA NUMBER - KIMBERLY D HAWKINS MD

Laboratory Demographics

CLIA Number: 45D1041224

Facility Name: KIMBERLY D HAWKINS MD

Facility Address:
427 WEST 20TH STREET STE 707
HOUSTON, TX
ZIP 77008
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Facility Phone Number: 713 863-1105

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1245723469

Taxonomy: 164X00000X - Licensed Vocational Nurse
A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

CLIA Record

Field Name Field Value
CLIA Number 45D1041224
LAB Type Physician Office
Facility Name KIMBERLY D HAWKINS MD
Street 427 WEST 20TH STREET STE 707
City HOUSTON
State TX
ZIP 77008
Phone 713 863-1105
CertificateType 4
CertificateEffectiveDate 5/26/2023
CertificateExpirationDate 5/25/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024