45D2291705 CLIA NUMBER - INTEGRATIVE CARE 360

Laboratory Demographics

  • CLIA Code: 45D2291705
  • Facility Name: INTEGRATIVE CARE 360
  • Facility Address: 2000 S DAIRY ASHFORD RD ST 575
    HOUSTON, TX
    ZIP 77077
  • Facility Phone: 832 213-6967
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANISHA R. TURNER
  • NPI Number: 1205519139
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2291705
LAB Type Physician Office
Facility Name INTEGRATIVE CARE 360
Street 2000 S DAIRY ASHFORD RD ST 575
City HOUSTON
State TX
ZIP 77077
Phone 832 213-6967
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2023
Certificate Expiration Date 10/15/2025
Facility Type Physician Office
Lab Director ANISHA R. TURNER

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