45D2043112 CLIA NUMBER - MD ANDERSON DIAGNOSTIC IMAGING - BELLAIRE

Laboratory Demographics

  • CLIA Code: 45D2043112
  • Facility Name: MD ANDERSON DIAGNOSTIC IMAGING - BELLAIRE
  • Facility Address: 6602 MAPLERIDGE
    HOUSTON, TX
    ZIP 77081
  • Facility Phone: 713 792-5763
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: XIN HAN
  • NPI Number: 1659324093
  • Taxonomy: 207RX0202X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2043112
LAB Type Community Clinic
Facility Name MD ANDERSON DIAGNOSTIC IMAGING - BELLAIRE
Street 6602 MAPLERIDGE
City HOUSTON
State TX
ZIP 77081
Phone 713 792-5763
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2024
Certificate Expiration Date 6/26/2026
Facility Type Community Clinic
Lab Director XIN HAN

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