45D2068908 CLIA NUMBER - WILLOWBROOK MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 45D2068908
  • Facility Name: WILLOWBROOK MEDICAL GROUP
  • Facility Address: 18310 TOMBALL PKWY SUITE 200
    HOUSTON, TX
    ZIP 77070
  • Facility Phone: 832 698-4377
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: QUOC D. LE
  • NPI Number: 1265463640
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2068908
LAB Type Physician Office
Facility Name WILLOWBROOK MEDICAL GROUP
Street 18310 TOMBALL PKWY SUITE 200
City HOUSTON
State TX
ZIP 77070
Phone 832 698-4377
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2023
Certificate Expiration Date 11/13/2025
Facility Type Physician Office
Lab Director QUOC D. LE

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This page was last updated on: 6/4/2025