45D2164283 CLIA NUMBER - VICTOR O MENDIOLA

Laboratory Demographics

  • CLIA Code: 45D2164283
  • Facility Name: VICTOR O MENDIOLA
  • Facility Address: 1415 NORTH LOOP WEST SUITE 940
    HOUSTON, TX
    ZIP 77008
  • Facility Phone: 713 697-4705
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VICTOR O. MENDIOLA
  • NPI Number: 1639380595
  • Taxonomy: 1223P0221X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 45D2164283
LAB Type Physician Office
Facility Name VICTOR O MENDIOLA
Street 1415 NORTH LOOP WEST SUITE 940
City HOUSTON
State TX
ZIP 77008
Phone 713 697-4705
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2025
Certificate Expiration Date 4/1/2027
Facility Type Physician Office
Lab Director VICTOR O. MENDIOLA

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