45D2306794 CLIA NUMBER - CLINICA FAMILIAR SU DOCTOR

Laboratory Demographics

  • CLIA Code: 45D2306794
  • Facility Name: CLINICA FAMILIAR SU DOCTOR
  • Facility Address: 2105 RED BLUFF RD
    PASADENA, TX
    ZIP 77506
  • Facility Phone: 832 269-5611
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HERNAN MIRANDA
  • NPI Number: 1285478750
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2306794
LAB Type Physician Office
Facility Name CLINICA FAMILIAR SU DOCTOR
Street 2105 RED BLUFF RD
City PASADENA
State TX
ZIP 77506
Phone 832 269-5611
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2024
Certificate Expiration Date 6/24/2026
Facility Type Physician Office
Lab Director HERNAN MIRANDA

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