45D2026515 CLIA NUMBER - PROVIDENCE WELLNESS CENTER, LLC

Laboratory Demographics

  • CLIA Code: 45D2026515
  • Facility Name: PROVIDENCE WELLNESS CENTER, LLC
  • Facility Address: 13155 WESTHEIMER ROAD SUITE #133
    HOUSTON, TX
    ZIP 77077
  • Facility Phone: 281 920-0344
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ESTHER A. EKE-HUBER
  • NPI Number: 1790061315
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2026515
LAB Type Practitioner Other
Facility Name PROVIDENCE WELLNESS CENTER, LLC
Street 13155 WESTHEIMER ROAD SUITE #133
City HOUSTON
State TX
ZIP 77077
Phone 281 920-0344
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Practitioner Other
Lab Director ESTHER A. EKE-HUBER

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