45D2302815 CLIA NUMBER - AZALEA PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 45D2302815
  • Facility Name: AZALEA PRIMARY CARE
  • Facility Address: 7825 HWY 6 NORTH STE 103
    HOUSTON, TX
    ZIP 77095
  • Facility Phone: 281 815-5140
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DANIELLE A. HUGHES
  • NPI Number: 1255198164
  • Taxonomy: 363LP2300X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2302815
LAB Type Practitioner Other
Facility Name AZALEA PRIMARY CARE
Street 7825 HWY 6 NORTH STE 103
City HOUSTON
State TX
ZIP 77095
Phone 281 815-5140
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2024
Certificate Expiration Date 4/15/2026
Facility Type Practitioner Other
Lab Director DANIELLE A. HUGHES

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