45D2270768 CLIA NUMBER - AMADO HOLISTICS PLLC

Laboratory Demographics

  • CLIA Code: 45D2270768
  • Facility Name: AMADO HOLISTICS PLLC
  • Facility Address: 409 BRANCHWOOD LN
    BROOKSHIRE, TX
    ZIP 77423
  • Facility Phone: 832 882-5632
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANDRA AMADO MEDINA MD
  • NPI Number: 1528642170
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2270768
LAB Type Physician Office
Facility Name AMADO HOLISTICS PLLC
Street 409 BRANCHWOOD LN
City BROOKSHIRE
State TX
ZIP 77423
Phone 832 882-5632
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Physician Office
Lab Director SANDRA AMADO MEDINA MD

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