45D2070298 CLIA NUMBER - NORTHSHORE TREATMENT CENTER, PLLC

Laboratory Demographics

  • CLIA Code: 45D2070298
  • Facility Name: NORTHSHORE TREATMENT CENTER, PLLC
  • Facility Address: 176 UVALDE RD
    HOUSTON, TX
    ZIP 77015
  • Facility Phone: 713 455-7008
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: AMOS E. OZUMBA
  • NPI Number: 1053883884
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 45D2070298
LAB Type Practitioner Other
Facility Name NORTHSHORE TREATMENT CENTER, PLLC
Street 176 UVALDE RD
City HOUSTON
State TX
ZIP 77015
Phone 713 455-7008
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2023
Certificate Expiration Date 12/11/2025
Facility Type Practitioner Other
Lab Director AMOS E. OZUMBA

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