45D1048676 CLIA NUMBER - KIDNEY ASSOCIATES PLLC

Laboratory Demographics

  • CLIA Code: 45D1048676
  • Facility Name: KIDNEY ASSOCIATES PLLC
  • Facility Address: 6560 FANNIN ST, SUITE 1730
    HOUSTON, TX
    ZIP 77030
  • Facility Phone: 713 795-5511
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN Z. FADEM
  • NPI Number: 1023146560
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1048676
LAB Type Physician Office
Facility Name KIDNEY ASSOCIATES PLLC
Street 6560 FANNIN ST, SUITE 1730
City HOUSTON
State TX
ZIP 77030
Phone 713 795-5511
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2023
Certificate Expiration Date 12/6/2025
Facility Type Physician Office
Lab Director STEPHEN Z. FADEM

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