45D2037323 CLIA NUMBER - RENAISSANCE FAMILY CLINIC OCTAVIO BARRIOS MD

Laboratory Demographics

  • CLIA Code: 45D2037323
  • Facility Name: RENAISSANCE FAMILY CLINIC OCTAVIO BARRIOS MD
  • Facility Address: 517 WEST GRAY STREET
    HOUSTON, TX
    ZIP 77019
  • Facility Phone: 713 942-7546
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OCTAVIO E. BARRIOS
  • NPI Number: 1205015369
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2037323
LAB Type Physician Office
Facility Name RENAISSANCE FAMILY CLINIC OCTAVIO BARRIOS MD
Street 517 WEST GRAY STREET
City HOUSTON
State TX
ZIP 77019
Phone 713 942-7546
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2024
Certificate Expiration Date 2/22/2026
Facility Type Physician Office
Lab Director OCTAVIO E. BARRIOS

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