45D2147960 CLIA NUMBER - THE UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER- PROTON THERAPY CENTER

Laboratory Demographics

  • CLIA Code: 45D2147960
  • Facility Name: THE UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER- PROTON THERAPY CENTER
  • Facility Address: 1840 OLD SPANISH TRAIL SUITE, 1150
    HOUSTON, TX
    ZIP 77054
  • Facility Phone: 713 745-5775
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: XIN HAN
  • NPI Number: 1760462709
  • Taxonomy: 261QX0203X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2147960
LAB Type Community Clinic
Facility Name THE UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER- PROTON THERAPY CENTER
Street 1840 OLD SPANISH TRAIL SUITE, 1150
City HOUSTON
State TX
ZIP 77054
Phone 713 745-5775
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2024
Certificate Expiration Date 4/30/2026
Facility Type Community Clinic
Lab Director XIN HAN

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