45D2285325 CLIA NUMBER - JUST DIVINE MEDICLINIC & MEDISPA LLC

Laboratory Demographics

  • CLIA Code: 45D2285325
  • Facility Name: JUST DIVINE MEDICLINIC & MEDISPA LLC
  • Facility Address: 21650 ALDINE WESTFIELD RD
    HUMBLE, TX
    ZIP 77338
  • Facility Phone: 832 319-0696
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: TONDRA ROBINSON
  • NPI Number: 1922754779
  • Taxonomy: 363LP2300X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2285325
LAB Type Ancillary Testing Site in Health Care Center
Facility Name JUST DIVINE MEDICLINIC & MEDISPA LLC
Street 21650 ALDINE WESTFIELD RD
City HUMBLE
State TX
ZIP 77338
Phone 832 319-0696
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2025
Certificate Expiration Date 7/10/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director TONDRA ROBINSON

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