45D2074064 CLIA NUMBER - METHODIST PRIMARY CARE GROUP TMH PHYSICIAN ORGANIZATION DBA

Laboratory Demographics

  • CLIA Code: 45D2074064
  • Facility Name: METHODIST PRIMARY CARE GROUP TMH PHYSICIAN ORGANIZATION DBA
  • Facility Address: 25282 NORTHWEST FREEWAY SUITE 200
    CYPRESS, TX
    ZIP 77429
  • Facility Phone: 713 441-1879
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID W. CAMPBELL
  • NPI Number: 1629828405
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 45D2074064
LAB Type Physician Office
Facility Name METHODIST PRIMARY CARE GROUP TMH PHYSICIAN ORGANIZATION DBA
Street 25282 NORTHWEST FREEWAY SUITE 200
City CYPRESS
State TX
ZIP 77429
Phone 713 441-1879
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/29/2024
Certificate Expiration Date 2/27/2026
Facility Type Physician Office
Lab Director DAVID W. CAMPBELL

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