45D2209064 CLIA NUMBER - CLINICA HISPANA ANTOINE

Laboratory Demographics

  • CLIA Code: 45D2209064
  • Facility Name: CLINICA HISPANA ANTOINE
  • Facility Address: 6606 ANTOINE DR
    HOUSTON, TX
    ZIP 77091
  • Facility Phone: 832 831-5114
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DONALD LONG
  • NPI Number: 1497631394
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2209064
LAB Type Physician Office
Facility Name CLINICA HISPANA ANTOINE
Street 6606 ANTOINE DR
City HOUSTON
State TX
ZIP 77091
Phone 832 831-5114
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2025
Certificate Expiration Date 1/10/2027
Facility Type Physician Office
Lab Director DONALD LONG

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