45D2109011 CLIA NUMBER - KATY FAMILY PHYSICIANS PA

Laboratory Demographics

  • CLIA Code: 45D2109011
  • Facility Name: KATY FAMILY PHYSICIANS PA
  • Facility Address: 21406 PROVINCIAL BLVD
    KATY, TX
    ZIP 77450
  • Facility Phone: 281 344-2335
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DILAWAR AJANI
  • NPI Number: 1902218555
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2109011
LAB Type Physician Office
Facility Name KATY FAMILY PHYSICIANS PA
Street 21406 PROVINCIAL BLVD
City KATY
State TX
ZIP 77450
Phone 281 344-2335
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2024
Certificate Expiration Date 2/16/2026
Facility Type Physician Office
Lab Director DILAWAR AJANI

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