45D2105904 CLIA NUMBER - JOHNSON A UKPEDE DBA DELTA SPINE & PAIN CLINIC

Laboratory Demographics

  • CLIA Code: 45D2105904
  • Facility Name: JOHNSON A UKPEDE DBA DELTA SPINE & PAIN CLINIC
  • Facility Address: 12000 RICHMOND AVE, SUITE 270
    HOUSTON, TX
    ZIP 77082
  • Facility Phone: 281 741-3243
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHNSON A. UKPEDE
  • NPI Number: 1760704068
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 45D2105904
LAB Type Physician Office
Facility Name JOHNSON A UKPEDE DBA DELTA SPINE & PAIN CLINIC
Street 12000 RICHMOND AVE, SUITE 270
City HOUSTON
State TX
ZIP 77082
Phone 281 741-3243
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2023
Certificate Expiration Date 12/6/2025
Facility Type Physician Office
Lab Director JOHNSON A. UKPEDE

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