45D2191901 CLIA NUMBER - PROVIDERS CHOICE LABORATORY

Laboratory Demographics

  • CLIA Code: 45D2191901
  • Facility Name: PROVIDERS CHOICE LABORATORY
  • Facility Address: 8300 CYPRESS CREEK PARKWAY STE 320
    HOUSTON, TX
    ZIP 77070
  • Facility Phone: 346 374-0007
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. LARRY A. BROUSSARD
  • NPI Number: 1467066860
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 45D2191901
LAB Type Independent
Facility Name PROVIDERS CHOICE LABORATORY
Street 8300 CYPRESS CREEK PARKWAY STE 320
City HOUSTON
State TX
ZIP 77070
Phone 346 374-0007
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 11/24/2023
Certificate Expiration Date 11/23/2025
Facility Type Independent
Lab Director DR. LARRY A. BROUSSARD

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