45D2261971 CLIA NUMBER - AGP FAMILY HEALTH CLINIC CORP

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Laboratory Demographics

CLIA Number: 45D2261971

Facility Name: AGP FAMILY HEALTH CLINIC CORP

Facility Address:
11007 NORTHPOINTE BLVD, SUITE D
TOMBALL, TX
ZIP 77375
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Facility Phone Number: 832 684-3909

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1760140313

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	45D2261971
LAB Type	Physician Office
Facility Name	AGP FAMILY HEALTH CLINIC CORP
Street	11007 NORTHPOINTE BLVD, SUITE D
City	TOMBALL
State	TX
ZIP	77375
Phone	832 684-3909
CertificateType	4
CertificateEffectiveDate	6/7/2022
CertificateExpirationDate	6/6/2024
FacilityType	Waiver

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