45D2173735 CLIA NUMBER - EVERCARE FAMILY CLINIC PLLC

Laboratory Demographics

CLIA Number: 45D2173735

Facility Name: EVERCARE FAMILY CLINIC PLLC

Facility Address:
1417 FM 1463 SUITE 120
KATY, TX
ZIP 77494
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Facility Phone Number: 713 429-5051

Facility Type: Public Health Laboratories

Certificate Type: Waiver

NPI Number: 1619522315

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name Field Value
CLIA Number 45D2173735
LAB Type Public Health Laboratories
Facility Name EVERCARE FAMILY CLINIC PLLC
Street 1417 FM 1463 SUITE 120
City KATY
State TX
ZIP 77494
Phone 713 429-5051
CertificateType 4
CertificateEffectiveDate 10/17/2023
CertificateExpirationDate 10/16/2025
FacilityType Waiver

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