45D2051236 CLIA NUMBER - UT HEALTH BBSB - CNRA

Home > CLIA Lookup > 45D2051236

Laboratory Demographics

CLIA Number: 45D2051236

Facility Name: UT HEALTH BBSB - CNRA

Facility Address:
1941 EAST ROAD
HOUSTON, TX
ZIP 77054
Get Directions

Facility Phone Number: 713 486-2800

Facility Type: Other - AMBULATORY TREATMENT

Certificate Type: Waiver

NPI Number: 1154745651

Taxonomy: 1223P0221X - Dentist
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

CLIA Record

Field Name	Field Value
CLIA Number	45D2051236
LAB Type	Other - AMBULATORY TREATMENT
Facility Name	UT HEALTH BBSB - CNRA
Street	1941 EAST ROAD
City	HOUSTON
State	TX
ZIP	77054
Phone	713 486-2800
CertificateType	4
CertificateEffectiveDate	12/14/2022
CertificateExpirationDate	12/13/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024