45D1079871 CLIA NUMBER - MARK D LE, MD, PA

Laboratory Demographics

  • CLIA Code: 45D1079871
  • Facility Name: MARK D LE, MD, PA
  • Facility Address: 602 LAWRENCE STREET, SUITE B
    TOMBALL, TX
    ZIP 77375
  • Facility Phone: 979 921-0647
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK D. LE
  • NPI Number: 1033153002
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1079871
LAB Type Physician Office
Facility Name MARK D LE, MD, PA
Street 602 LAWRENCE STREET, SUITE B
City TOMBALL
State TX
ZIP 77375
Phone 979 921-0647
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2024
Certificate Expiration Date 2/7/2026
Facility Type Physician Office
Lab Director MARK D. LE

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