45D2240366 CLIA NUMBER - NEW WAVE PHYSICIANS GROUP

Laboratory Demographics

  • CLIA Code: 45D2240366
  • Facility Name: NEW WAVE PHYSICIANS GROUP
  • Facility Address: 1917 ASHLAND ST #100 ATTN LUCY DOMINGUEZ
    HOUSTON, TX
    ZIP 77008
  • Facility Phone: 713 429-0881
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMIE SUN-WRIGHT
  • NPI Number: 1205424975
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 45D2240366
LAB Type Physician Office
Facility Name NEW WAVE PHYSICIANS GROUP
Street 1917 ASHLAND ST #100 ATTN LUCY DOMINGUEZ
City HOUSTON
State TX
ZIP 77008
Phone 713 429-0881
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2023
Certificate Expiration Date 10/18/2025
Facility Type Physician Office
Lab Director AMIE SUN-WRIGHT

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