45D1053058 CLIA NUMBER - FAN WANG

Laboratory Demographics

  • CLIA Code: 45D1053058
  • Facility Name: FAN WANG
  • Facility Address: 6671 SOUTHWEST FREEWAY SUITE 320
    HOUSTON, TX
    ZIP 77074
  • Facility Phone: 713 884-8887
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: FAN WANG
  • NPI Number: 1003046541
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 45D1053058
LAB Type Physician Office
Facility Name FAN WANG
Street 6671 SOUTHWEST FREEWAY SUITE 320
City HOUSTON
State TX
ZIP 77074
Phone 713 884-8887
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/12/2024
Certificate Expiration Date 4/11/2026
Facility Type Physician Office
Lab Director FAN WANG

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