45D2222579 CLIA NUMBER - CLINICA HISPANA NEW CANEY

Laboratory Demographics

  • CLIA Code: 45D2222579
  • Facility Name: CLINICA HISPANA NEW CANEY
  • Facility Address: 20651 FM 1485 RD # 1
    NEW CANEY, TX
    ZIP 77357
  • Facility Phone: 832 793-5635
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KIMBERLY DUNN
  • NPI Number: 1538801923
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 45D2222579
LAB Type Physician Office
Facility Name CLINICA HISPANA NEW CANEY
Street 20651 FM 1485 RD # 1
City NEW CANEY
State TX
ZIP 77357
Phone 832 793-5635
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2025
Certificate Expiration Date 4/28/2027
Facility Type Physician Office
Lab Director KIMBERLY DUNN

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