45D1042932 CLIA NUMBER - DIANNE E WOLLASTON, MD

Laboratory Demographics

  • CLIA Code: 45D1042932
  • Facility Name: DIANNE E WOLLASTON, MD
  • Facility Address: 902 FROSTWOOD DR SUITE 208
    HOUSTON, TX
    ZIP 77024
  • Facility Phone: 713 266-1946
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DIANNE E. WOLLASTON
  • NPI Number: 1427161637
  • Taxonomy: 207RR0500X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1042932
LAB Type Physician Office
Facility Name DIANNE E WOLLASTON, MD
Street 902 FROSTWOOD DR SUITE 208
City HOUSTON
State TX
ZIP 77024
Phone 713 266-1946
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2023
Certificate Expiration Date 11/14/2025
Facility Type Physician Office
Lab Director DIANNE E. WOLLASTON

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