45D1052259 CLIA NUMBER - NORTHWEST MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 45D1052259
  • Facility Name: NORTHWEST MEDICAL GROUP
  • Facility Address: 1919 N LOOP WEST SUITE 218
    HOUSTON, TX
    ZIP 77008
  • Facility Phone: 713 862-5797
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VAN TRAN
  • NPI Number: 1881824571
  • Taxonomy: 156FX1800X - Technician/Technologist

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CLIA Record

Field Name Field Value
CLIA Number 45D1052259
LAB Type Physician Office
Facility Name NORTHWEST MEDICAL GROUP
Street 1919 N LOOP WEST SUITE 218
City HOUSTON
State TX
ZIP 77008
Phone 713 862-5797
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2024
Certificate Expiration Date 3/21/2026
Facility Type Physician Office
Lab Director VAN TRAN

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