45D2257464 CLIA NUMBER - POLIMED PRIMARY CARE, PLLC

Laboratory Demographics

  • CLIA Code: 45D2257464
  • Facility Name: POLIMED PRIMARY CARE, PLLC
  • Facility Address: 12600 N FEATHERWOOD DRIVE
    HOUSTON, TX
    ZIP 77034
  • Facility Phone: 201 281-0662
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ADONIS L. CASTILLO
  • NPI Number: 1649916701
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2257464
LAB Type Physician Office
Facility Name POLIMED PRIMARY CARE, PLLC
Street 12600 N FEATHERWOOD DRIVE
City HOUSTON
State TX
ZIP 77034
Phone 201 281-0662
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2024
Certificate Expiration Date 4/4/2026
Facility Type Physician Office
Lab Director ADONIS L. CASTILLO

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