45D2013732 CLIA NUMBER - MEDICAL LEADERS AND ASSOC, PLLC

Laboratory Demographics

  • CLIA Code: 45D2013732
  • Facility Name: MEDICAL LEADERS AND ASSOC, PLLC
  • Facility Address: 513 S COLUMBIA DR
    WEST COLUMBIA, TX
    ZIP 77486
  • Facility Phone: 979 345-6522
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MOHAMMED A. DADA
  • NPI Number: 1255567772
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2013732
LAB Type Physician Office
Facility Name MEDICAL LEADERS AND ASSOC, PLLC
Street 513 S COLUMBIA DR
City WEST COLUMBIA
State TX
ZIP 77486
Phone 979 345-6522
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 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Physician Office
Lab Director MOHAMMED A. DADA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025