45D2189027 CLIA NUMBER - INTERVENTIONAL ASSOCIATES PLLC

Laboratory Demographics

  • CLIA Code: 45D2189027
  • Facility Name: INTERVENTIONAL ASSOCIATES PLLC
  • Facility Address: 8619 BROADWAY STREET SUITE 105
    PEARLAND, TX
    ZIP 77584
  • Facility Phone: 281 949-6020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DIVYANG C. AYAR
  • NPI Number: 1295101152
  • Taxonomy: 2085R0204X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 45D2189027
LAB Type Physician Office
Facility Name INTERVENTIONAL ASSOCIATES PLLC
Street 8619 BROADWAY STREET SUITE 105
City PEARLAND
State TX
ZIP 77584
Phone 281 949-6020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2024
Certificate Expiration Date 7/23/2026
Facility Type Physician Office
Lab Director DIVYANG C. AYAR

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