45D2063743 CLIA NUMBER - CLEAR CHOICE HEALTH CENTER

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Laboratory Demographics

CLIA Number: 45D2063743

Facility Name: CLEAR CHOICE HEALTH CENTER

Facility Address:
7080 SOUTHWEST FREEWAY, SUITE 100
HOUSTON, TX
ZIP 77074
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Facility Phone Number: 713 774-7080

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1043641780

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2063743
LAB Type	Physician Office
Facility Name	CLEAR CHOICE HEALTH CENTER
Street	7080 SOUTHWEST FREEWAY, SUITE 100
City	HOUSTON
State	TX
ZIP	77074
Phone	713 774-7080
CertificateType	4
CertificateEffectiveDate	9/14/2022
CertificateExpirationDate	9/13/2024
FacilityType	Waiver

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