45D1050600 CLIA NUMBER - MOHAMED O JEROUDI MD PA

Laboratory Demographics

  • CLIA Code: 45D1050600
  • Facility Name: MOHAMED O JEROUDI MD PA
  • Facility Address: 5060 CRENSHAW RD SUITE 200
    PASADENA, TX
    ZIP 77505
  • Facility Phone: 713 475-5940
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: MOHAMED O. JEROUDI
  • NPI Number: 1881672103
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1050600
LAB Type Independent
Facility Name MOHAMED O JEROUDI MD PA
Street 5060 CRENSHAW RD SUITE 200
City PASADENA
State TX
ZIP 77505
Phone 713 475-5940
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2024
Certificate Expiration Date 2/6/2026
Facility Type Independent
Lab Director MOHAMED O. JEROUDI

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