45D2139306 CLIA NUMBER - LEGACY COMMUNITY HEALTH KIPP-SHARP

Laboratory Demographics

  • CLIA Code: 45D2139306
  • Facility Name: LEGACY COMMUNITY HEALTH KIPP-SHARP
  • Facility Address: 8430 WESTGLEN DR
    HOUSTON, TX
    ZIP 77063
  • Facility Phone: 713 814-3293
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: SANDRA GONZALEZ
  • NPI Number: 1669755351
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 45D2139306
LAB Type Federally Qualified Health Center
Facility Name LEGACY COMMUNITY HEALTH KIPP-SHARP
Street 8430 WESTGLEN DR
City HOUSTON
State TX
ZIP 77063
Phone 713 814-3293
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Federally Qualified Health Center
Lab Director SANDRA GONZALEZ

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