45D1056309 CLIA NUMBER - IVAN N MEFFORD MD PHD PA

Laboratory Demographics

  • CLIA Code: 45D1056309
  • Facility Name: IVAN N MEFFORD MD PHD PA
  • Facility Address: 1505 LIBERTY STREET
    RICHMOND, TX
    ZIP 77469
  • Facility Phone: 281 342-9500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IVAN N. MEFFORD MD
  • NPI Number: 1184672404
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1056309
LAB Type Physician Office
Facility Name IVAN N MEFFORD MD PHD PA
Street 1505 LIBERTY STREET
City RICHMOND
State TX
ZIP 77469
Phone 281 342-9500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2024
Certificate Expiration Date 7/11/2026
Facility Type Physician Office
Lab Director IVAN N. MEFFORD MD

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