45D2088459 CLIA NUMBER - PRIME CARE MDS

Laboratory Demographics

  • CLIA Code: 45D2088459
  • Facility Name: PRIME CARE MDS
  • Facility Address: 2655 W BAKER RD
    BAYTOWN, TX
    ZIP 77521
  • Facility Phone: 281 837-2273
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KAMRAN A. KHAN
  • NPI Number: 1750618070
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2088459
LAB Type Physician Office
Facility Name PRIME CARE MDS
Street 2655 W BAKER RD
City BAYTOWN
State TX
ZIP 77521
Phone 281 837-2273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2024
Certificate Expiration Date 12/14/2026
Facility Type Physician Office
Lab Director KAMRAN A. KHAN

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