45D1061684 CLIA NUMBER - HOUSTON INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 45D1061684
  • Facility Name: HOUSTON INTERNAL MEDICINE
  • Facility Address: 7737 BEECHNUT STREET SUITE 202
    HOUSTON, TX
    ZIP 77074
  • Facility Phone: 713 773-2255
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHNSON I. AGU
  • NPI Number: 1609826569
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1061684
LAB Type Physician Office
Facility Name HOUSTON INTERNAL MEDICINE
Street 7737 BEECHNUT STREET SUITE 202
City HOUSTON
State TX
ZIP 77074
Phone 713 773-2255
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/27/2024
Certificate Expiration Date 11/26/2026
Facility Type Physician Office
Lab Director JOHNSON I. AGU

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