45D2160275 CLIA NUMBER - DAIRY ASHFORD FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 45D2160275
  • Facility Name: DAIRY ASHFORD FAMILY PRACTICE
  • Facility Address: 1500 S DAIRY ASHFORD #198
    HOUSTON, TX
    ZIP 77077
  • Facility Phone: 281 759-0200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: XIN WANG
  • NPI Number: 1619175056
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2160275
LAB Type Physician Office
Facility Name DAIRY ASHFORD FAMILY PRACTICE
Street 1500 S DAIRY ASHFORD #198
City HOUSTON
State TX
ZIP 77077
Phone 281 759-0200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2025
Certificate Expiration Date 1/7/2027
Facility Type Physician Office
Lab Director XIN WANG

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This page was last updated on: 6/4/2025