45D2197803 CLIA NUMBER - CLINICA MEDICA HISPANA

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Laboratory Demographics

CLIA Number: 45D2197803

Facility Name: CLINICA MEDICA HISPANA

Facility Address:
5930 HWY 6 NORTH SUITE A-2
HOUSTON, TX
ZIP 77084
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Facility Phone Number: 281 856-7878

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1659740298

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2197803
LAB Type	Physician Office
Facility Name	CLINICA MEDICA HISPANA
Street	5930 HWY 6 NORTH SUITE A-2
City	HOUSTON
State	TX
ZIP	77084
Phone	281 856-7878
CertificateType	4
CertificateEffectiveDate	10/27/2022
CertificateExpirationDate	10/26/2024
FacilityType	Waiver

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