45D1068419 CLIA NUMBER - BERRY MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 45D1068419
  • Facility Name: BERRY MEDICAL CLINIC
  • Facility Address: 8518 JENSEN DR
    HOUSTON, TX
    ZIP 77093
  • Facility Phone: 713 691-2112
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KWAME ADU-GYAMFI
  • NPI Number: 1942694815
  • Taxonomy: 343800000X - Secured Medical Transport (VAN)

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CLIA Record

Field Name Field Value
CLIA Number 45D1068419
LAB Type Physician Office
Facility Name BERRY MEDICAL CLINIC
Street 8518 JENSEN DR
City HOUSTON
State TX
ZIP 77093
Phone 713 691-2112
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2025
Certificate Expiration Date 5/9/2027
Facility Type Physician Office
Lab Director KWAME ADU-GYAMFI

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