45D2209796 CLIA NUMBER - WILLOWCHASE MEDICAL PLLC

Laboratory Demographics

  • CLIA Code: 45D2209796
  • Facility Name: WILLOWCHASE MEDICAL PLLC
  • Facility Address: 11427 JONES RD
    HOUSTON, TX
    ZIP 77070
  • Facility Phone: 281 469-4690
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANTHONY H. PHI
  • NPI Number: 1558976035
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2209796
LAB Type Physician Office
Facility Name WILLOWCHASE MEDICAL PLLC
Street 11427 JONES RD
City HOUSTON
State TX
ZIP 77070
Phone 281 469-4690
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/16/2025
Certificate Expiration Date 1/15/2027
Facility Type Physician Office
Lab Director ANTHONY H. PHI

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