45D2152379 CLIA NUMBER - COMMUNITY HEALTH AND LIFE CENTER, PLLC

Laboratory Demographics

CLIA Number: 45D2152379

Facility Name: COMMUNITY HEALTH AND LIFE CENTER, PLLC

Facility Address:
17510 WEST GRAND PARKWAY SOUTH SUITE #380
SUGAR LAND, TX
ZIP 77479
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Facility Phone Number: 281 615-6466

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1609369172

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	45D2152379
LAB Type	Physician Office
Facility Name	COMMUNITY HEALTH AND LIFE CENTER, PLLC
Street	17510 WEST GRAND PARKWAY SOUTH SUITE #380
City	SUGAR LAND
State	TX
ZIP	77479
Phone	281 615-6466
CertificateType	4
CertificateEffectiveDate	8/8/2022
CertificateExpirationDate	8/7/2024
FacilityType	Waiver

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