45D1106011 CLIA NUMBER - SHAN MEDICAL ASSOCIATION

Laboratory Demographics

  • CLIA Code: 45D1106011
  • Facility Name: SHAN MEDICAL ASSOCIATION
  • Facility Address: 11717 HIGHLAND MEADOW DR #300
    HOUSTON, TX
    ZIP 77089
  • Facility Phone: 281 464-6042
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MANEESH N. PATEL, MD
  • NPI Number: 1194878975
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1106011
LAB Type Physician Office
Facility Name SHAN MEDICAL ASSOCIATION
Street 11717 HIGHLAND MEADOW DR #300
City HOUSTON
State TX
ZIP 77089
Phone 281 464-6042
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2025
Certificate Expiration Date 10/1/2027
Facility Type Physician Office
Lab Director MANEESH N. PATEL, MD

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