45D2268091 CLIA NUMBER - BLUE BONNET CLINIC

Laboratory Demographics

  • CLIA Code: 45D2268091
  • Facility Name: BLUE BONNET CLINIC
  • Facility Address: 7505 FANNIN ST #170
    HOUSTON, TX
    ZIP 77054
  • Facility Phone: 713 750-9045
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IGNACIO VALDES
  • NPI Number: 1851930515
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 45D2268091
LAB Type Physician Office
Facility Name BLUE BONNET CLINIC
Street 7505 FANNIN ST #170
City HOUSTON
State TX
ZIP 77054
Phone 713 750-9045
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2024
Certificate Expiration Date 9/5/2026
Facility Type Physician Office
Lab Director IGNACIO VALDES

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