45D1053908 CLIA NUMBER - AGADADASH KULIEV ME INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 45D1053908
  • Facility Name: AGADADASH KULIEV ME INTERNAL MEDICINE
  • Facility Address: 1140 BUSINESS CENTER DR STE 203
    HOUSTON, TX
    ZIP 77043
  • Facility Phone: 713 463-5527
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AGADADASH KULIEV
  • NPI Number: 1215912365
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1053908
LAB Type Physician Office
Facility Name AGADADASH KULIEV ME INTERNAL MEDICINE
Street 1140 BUSINESS CENTER DR STE 203
City HOUSTON
State TX
ZIP 77043
Phone 713 463-5527
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2024
Certificate Expiration Date 5/7/2026
Facility Type Physician Office
Lab Director AGADADASH KULIEV

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