45D2003121 CLIA NUMBER - MYCARE MEDICAL OF TEXAS, PLLC

Laboratory Demographics

  • CLIA Code: 45D2003121
  • Facility Name: MYCARE MEDICAL OF TEXAS, PLLC
  • Facility Address: 1600 JAMES BOWIE DR STE D115
    BAYTOWN, TX
    ZIP 77520
  • Facility Phone: 281 425-3800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BUFFORD MOORE
  • NPI Number: 1265474597
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2003121
LAB Type Physician Office
Facility Name MYCARE MEDICAL OF TEXAS, PLLC
Street 1600 JAMES BOWIE DR STE D115
City BAYTOWN
State TX
ZIP 77520
Phone 281 425-3800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2024
Certificate Expiration Date 2/1/2026
Facility Type Physician Office
Lab Director BUFFORD MOORE

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