45D2138362 CLIA NUMBER - LEGACY COMMUNITY HEALTH KIPP-UNITY

Laboratory Demographics

CLIA Number: 45D2138362

Facility Name: LEGACY COMMUNITY HEALTH KIPP-UNITY

Facility Address:
8500 TEXAS 6
HOUSTON, TX
ZIP 77083
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Facility Phone Number: 713 814-3293

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1821530981

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2138362
LAB Type	Federally Qualified Health Center
Facility Name	LEGACY COMMUNITY HEALTH KIPP-UNITY
Street	8500 TEXAS 6
City	HOUSTON
State	TX
ZIP	77083
Phone	713 814-3293
CertificateType	4
CertificateEffectiveDate	10/16/2023
CertificateExpirationDate	10/15/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024