45D2088620 CLIA NUMBER - BERTA DE LEON SCAGLIA MD PA

Laboratory Demographics

  • CLIA Code: 45D2088620
  • Facility Name: BERTA DE LEON SCAGLIA MD PA
  • Facility Address: 6515 LAWNDALE ST
    HOUSTON, TX
    ZIP 77023
  • Facility Phone: 713 669-9968
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BERTA C. DE LEON-SCAGLIA
  • NPI Number: 1932201134
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2088620
LAB Type Physician Office
Facility Name BERTA DE LEON SCAGLIA MD PA
Street 6515 LAWNDALE ST
City HOUSTON
State TX
ZIP 77023
Phone 713 669-9968
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2024
Certificate Expiration Date 12/15/2026
Facility Type Physician Office
Lab Director BERTA C. DE LEON-SCAGLIA

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