45D1090530 CLIA NUMBER - MOHAMMED ATIQ DADA, MD

Laboratory Demographics

  • CLIA Code: 45D1090530
  • Facility Name: MOHAMMED ATIQ DADA, MD
  • Facility Address: 200 MEDICAL CENTER COURT SUITE 100
    BAY CITY, TX
    ZIP 77414
  • Facility Phone: 979 245-2421
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DADA A. MOHAMMED
  • NPI Number: 1942287826
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1090530
LAB Type Physician Office
Facility Name MOHAMMED ATIQ DADA, MD
Street 200 MEDICAL CENTER COURT SUITE 100
City BAY CITY
State TX
ZIP 77414
Phone 979 245-2421
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/14/2024
Certificate Expiration Date 10/13/2026
Facility Type Physician Office
Lab Director DADA A. MOHAMMED

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