45D2275598 CLIA NUMBER - MODERN HEART AND VASCULAR INSTITUTE

Laboratory Demographics

  • CLIA Code: 45D2275598
  • Facility Name: MODERN HEART AND VASCULAR INSTITUTE
  • Facility Address: 9810 FM 1960 W BYPASS RD, SUITE 165
    HUMBLE, TX
    ZIP 77338
  • Facility Phone: 832 644-8930
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: CHIC BODDIE
  • NPI Number: 1720550015
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2275598
LAB Type Physician Office
Facility Name MODERN HEART AND VASCULAR INSTITUTE
Street 9810 FM 1960 W BYPASS RD, SUITE 165
City HUMBLE
State TX
ZIP 77338
Phone 832 644-8930
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/19/2024
Certificate Expiration Date 3/18/2026
Facility Type Physician Office
Lab Director CHIC BODDIE

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