45D2174625 CLIA NUMBER - TEXAS WELLMED CLINIC

Laboratory Demographics

  • CLIA Code: 45D2174625
  • Facility Name: TEXAS WELLMED CLINIC
  • Facility Address: 12246 QUEENSTON BLVD, STE A
    HOUSTON, TX
    ZIP 77095
  • Facility Phone: 281 246-4668
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAMUEL FENG
  • NPI Number: 1326561440
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2174625
LAB Type Physician Office
Facility Name TEXAS WELLMED CLINIC
Street 12246 QUEENSTON BLVD, STE A
City HOUSTON
State TX
ZIP 77095
Phone 281 246-4668
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2023
Certificate Expiration Date 11/4/2025
Facility Type Physician Office
Lab Director SAMUEL FENG

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