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45D2258010 CLIA NUMBER - KON VENTURES LLC

Laboratory Demographics

CLIA Number: 45D2258010

Facility Name: KON VENTURES LLC

Facility Address:
6430 RICHMOND AVE STE 250-06
HOUSTON, TX
ZIP 77057
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Facility Phone Number: 832 729-5637

Facility Type: Ambulance

Certificate Type: Waiver
NPI Number: 1669714507

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name Field Value
CLIA Number 45D2258010
LAB Type Ambulance
Facility Name KON VENTURES LLC
Street 6430 RICHMOND AVE STE 250-06
City HOUSTON
State TX
ZIP 77057
Phone 832 729-5637
CertificateType 4
CertificateEffectiveDate 4/14/2024
CertificateExpirationDate 4/13/2026
FacilityType Waiver

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