45D2107485 CLIA NUMBER - MANJESHWAR R PRABHU MD

Laboratory Demographics

  • CLIA Code: 45D2107485
  • Facility Name: MANJESHWAR R PRABHU MD
  • Facility Address: 1147 BRITTMOORE RD #4
    HOUSTON, TX
    ZIP 77042
  • Facility Phone: 713 960-0344
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MANJESHWAR R. PRABHU
  • NPI Number: 1659439230
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 45D2107485
LAB Type Physician Office
Facility Name MANJESHWAR R PRABHU MD
Street 1147 BRITTMOORE RD #4
City HOUSTON
State TX
ZIP 77042
Phone 713 960-0344
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2024
Certificate Expiration Date 1/13/2026
Facility Type Physician Office
Lab Director MANJESHWAR R. PRABHU

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