45D2039631 CLIA NUMBER - PRABHU B PATIL MD PA

Laboratory Demographics

  • CLIA Code: 45D2039631
  • Facility Name: PRABHU B PATIL MD PA
  • Facility Address: 511A WEST TIDWELL RD
    HOUSTON, TX
    ZIP 77091
  • Facility Phone: 713 697-7166
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PRABHU B. PATIL
  • NPI Number: 1619157492
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2039631
LAB Type Physician Office
Facility Name PRABHU B PATIL MD PA
Street 511A WEST TIDWELL RD
City HOUSTON
State TX
ZIP 77091
Phone 713 697-7166
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2024
Certificate Expiration Date 4/12/2026
Facility Type Physician Office
Lab Director PRABHU B. PATIL

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