45D2294885 CLIA NUMBER - FAMILY MEDICINE & GERIATRIC CLINIC

Laboratory Demographics

  • CLIA Code: 45D2294885
  • Facility Name: FAMILY MEDICINE & GERIATRIC CLINIC
  • Facility Address: 17070 RED OAK DRIVE SUITE 403
    HOUSTON, TX
    ZIP 77090
  • Facility Phone: (281) 836-5691
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OLAJUMOKE A. OGUNFOLU
  • NPI Number: 1306146873
  • Taxonomy: 302R00000X - Health Maintenance Organization

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CLIA Record

Field Name Field Value
CLIA Number 45D2294885
LAB Type Physician Office
Facility Name FAMILY MEDICINE & GERIATRIC CLINIC
Street 17070 RED OAK DRIVE SUITE 403
City HOUSTON
State TX
ZIP 77090
Phone 2818365691
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2025
Certificate Expiration Date 11/30/2027
Facility Type Physician Office
Lab Director OLAJUMOKE A. OGUNFOLU

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This page was last updated on: 5/18/2026