45D2269109 CLIA NUMBER - LIFETIME PRIMARY CARE LLC

Laboratory Demographics

  • CLIA Code: 45D2269109
  • Facility Name: LIFETIME PRIMARY CARE LLC
  • Facility Address: 16645 W AIRPORT BLVD
    SUGAR LAND, TX
    ZIP 77498
  • Facility Phone: 281 313-0662
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MISBAH KALAIR
  • NPI Number: 1174252282
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2269109
LAB Type Physician Office
Facility Name LIFETIME PRIMARY CARE LLC
Street 16645 W AIRPORT BLVD
City SUGAR LAND
State TX
ZIP 77498
Phone 281 313-0662
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2024
Certificate Expiration Date 9/20/2026
Facility Type Physician Office
Lab Director MISBAH KALAIR

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