45D2153759 CLIA NUMBER - LUCKETT JOHNSON, MD

Laboratory Demographics

  • CLIA Code: 45D2153759
  • Facility Name: LUCKETT JOHNSON, MD
  • Facility Address: 7804 SCOTT ST
    HOUSTON, TX
    ZIP 77051
  • Facility Phone: 713 669-9199
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LUCKETT JOHNSON
  • NPI Number: 1386712966
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2153759
LAB Type Physician Office
Facility Name LUCKETT JOHNSON, MD
Street 7804 SCOTT ST
City HOUSTON
State TX
ZIP 77051
Phone 713 669-9199
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/29/2024
Certificate Expiration Date 8/28/2026
Facility Type Physician Office
Lab Director LUCKETT JOHNSON

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