45D2306893 CLIA NUMBER - TEXAS RETINA CENTER

Laboratory Demographics

  • CLIA Code: 45D2306893
  • Facility Name: TEXAS RETINA CENTER
  • Facility Address: 6560 FANNIN ST # 1812
    HOUSTON, TX
    ZIP 77030
  • Facility Phone: 832 306-3209
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHAHEEN KAVOUSSI
  • NPI Number: 1265991855
  • Taxonomy: 261QS0132X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2306893
LAB Type Physician Office
Facility Name TEXAS RETINA CENTER
Street 6560 FANNIN ST # 1812
City HOUSTON
State TX
ZIP 77030
Phone 832 306-3209
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2024
Certificate Expiration Date 6/25/2026
Facility Type Physician Office
Lab Director SHAHEEN KAVOUSSI

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