45D1076871 CLIA NUMBER - NORTHWEST HOUSTON HEART CENTER

Laboratory Demographics

CLIA Number: 45D1076871

Facility Name: NORTHWEST HOUSTON HEART CENTER

Facility Address:
308 HOLDERRIETH
TOMBALL, TX
ZIP 77375
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Facility Phone Number: 281 351-4911

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1093032070

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name	Field Value
CLIA Number	45D1076871
LAB Type	Physician Office
Facility Name	NORTHWEST HOUSTON HEART CENTER
Street	308 HOLDERRIETH
City	TOMBALL
State	TX
ZIP	77375
Phone	281 351-4911
CertificateType	4
CertificateEffectiveDate	11/27/2023
CertificateExpirationDate	11/26/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024