45D1069377 CLIA NUMBER - ANGEL PEREZ MD PA

Laboratory Demographics

  • CLIA Code: 45D1069377
  • Facility Name: ANGEL PEREZ MD PA
  • Facility Address: 15055 EAST FREEWAY SUITE B60
    CHANNELVIEW, TX
    ZIP 77530
  • Facility Phone: 281 452-4444
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANGEL PEREZ
  • NPI Number: 1477541662
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1069377
LAB Type Physician Office
Facility Name ANGEL PEREZ MD PA
Street 15055 EAST FREEWAY SUITE B60
City CHANNELVIEW
State TX
ZIP 77530
Phone 281 452-4444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/5/2025
Certificate Expiration Date 6/4/2027
Facility Type Physician Office
Lab Director ANGEL PEREZ

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