45D2039544 CLIA NUMBER - EAST HOUSTON PHYSICIANS GROUP PA

Laboratory Demographics

  • CLIA Code: 45D2039544
  • Facility Name: EAST HOUSTON PHYSICIANS GROUP PA
  • Facility Address: 11110 EAST FWY STE 100A
    HOUSTON, TX
    ZIP 77029
  • Facility Phone: 713 330-0766
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RONALD W. KILLAM
  • NPI Number: 1336177179
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2039544
LAB Type Physician Office
Facility Name EAST HOUSTON PHYSICIANS GROUP PA
Street 11110 EAST FWY STE 100A
City HOUSTON
State TX
ZIP 77029
Phone 713 330-0766
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2024
Certificate Expiration Date 4/11/2026
Facility Type Physician Office
Lab Director RONALD W. KILLAM

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