45D1067204 CLIA NUMBER - IBN SINA FOUNDATION

Laboratory Demographics

  • CLIA Code: 45D1067204
  • Facility Name: IBN SINA FOUNDATION
  • Facility Address: 11226 S WILCREST
    HOUSTON, TX
    ZIP 77099
  • Facility Phone: 281 977-7462
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: MUSHTAQ A. KHAN
  • NPI Number: 1699973610
  • Taxonomy: 261QC1500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1067204
LAB Type Community Clinic
Facility Name IBN SINA FOUNDATION
Street 11226 S WILCREST
City HOUSTON
State TX
ZIP 77099
Phone 281 977-7462
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 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Community Clinic
Lab Director MUSHTAQ A. KHAN

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