45D1042957 CLIA NUMBER - ANISHA WAXALI MD PA

Laboratory Demographics

  • CLIA Code: 45D1042957
  • Facility Name: ANISHA WAXALI MD PA
  • Facility Address: 4780 SWEETWATER BLVD SUITE 100
    SUGAR LAND, TX
    ZIP 77479
  • Facility Phone: 281 491-0094
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: ANISHA V. WAXALI
  • NPI Number: 1124137591
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1042957
LAB Type Ancillary Testing Site in Health Care Center
Facility Name ANISHA WAXALI MD PA
Street 4780 SWEETWATER BLVD SUITE 100
City SUGAR LAND
State TX
ZIP 77479
Phone 281 491-0094
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2025
Certificate Expiration Date 7/12/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director ANISHA V. WAXALI

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