45D1073328 CLIA NUMBER - HOUSTON METHODIST PRIMARY CARE GROUP - WILLOWBROOK

Laboratory Demographics

  • CLIA Code: 45D1073328
  • Facility Name: HOUSTON METHODIST PRIMARY CARE GROUP - WILLOWBROOK
  • Facility Address: 18220 STATE HIGHWAY 249 STE 390
    HOUSTON, TX
    ZIP 77065
  • Facility Phone: 281 737-0899
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TIFFANY BURNS
  • NPI Number: 1255648200
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 45D1073328
LAB Type Physician Office
Facility Name HOUSTON METHODIST PRIMARY CARE GROUP - WILLOWBROOK
Street 18220 STATE HIGHWAY 249 STE 390
City HOUSTON
State TX
ZIP 77065
Phone 281 737-0899
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2025
Certificate Expiration Date 9/6/2027
Facility Type Physician Office
Lab Director TIFFANY BURNS

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