45D2289523 CLIA NUMBER - MAI MEDICAL PA

Laboratory Demographics

  • CLIA Code: 45D2289523
  • Facility Name: MAI MEDICAL PA
  • Facility Address: 4807 SUGAR GROVE BLVD SUITE 301
    STAFFORD, TX
    ZIP 77477
  • Facility Phone: 713 999-2860
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MINH Q. MAI
  • NPI Number: 1972205656
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2289523
LAB Type Physician Office
Facility Name MAI MEDICAL PA
Street 4807 SUGAR GROVE BLVD SUITE 301
City STAFFORD
State TX
ZIP 77477
Phone 713 999-2860
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2025
Certificate Expiration Date 9/11/2027
Facility Type Physician Office
Lab Director MINH Q. MAI

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