45D2178777 CLIA NUMBER - TOMBALL MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 45D2178777
  • Facility Name: TOMBALL MEDICAL CLINIC
  • Facility Address: 13406 MEDICAL COMPLEX DR STE 200
    TOMBALL, TX
    ZIP 77375
  • Facility Phone: 821 351-7127
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALI H. ZAKIR
  • NPI Number: 1265761662
  • Taxonomy: 207ZP0102X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 45D2178777
LAB Type Physician Office
Facility Name TOMBALL MEDICAL CLINIC
Street 13406 MEDICAL COMPLEX DR STE 200
City TOMBALL
State TX
ZIP 77375
Phone 821 351-7127
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2024
Certificate Expiration Date 2/6/2026
Facility Type Physician Office
Lab Director ALI H. ZAKIR

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