45D2229777 CLIA NUMBER - LEGACY COMMUNITY HEALTH YES PREP WEST

Laboratory Demographics

CLIA Number: 45D2229777

Facility Name: LEGACY COMMUNITY HEALTH YES PREP WEST

Facility Address:
10535 HARWIN DR
HOUSTON, TX
ZIP 77036
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Facility Phone Number: 713 814-3293

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1265107528

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2229777
LAB Type	Federally Qualified Health Center
Facility Name	LEGACY COMMUNITY HEALTH YES PREP WEST
Street	10535 HARWIN DR
City	HOUSTON
State	TX
ZIP	77036
Phone	713 814-3293
CertificateType	4
CertificateEffectiveDate	7/16/2023
CertificateExpirationDate	7/15/2025
FacilityType	Waiver

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