45D2307827 CLIA NUMBER - LIFETIME MEDICAL

Laboratory Demographics

  • CLIA Code: 45D2307827
  • Facility Name: LIFETIME MEDICAL
  • Facility Address: 7790 W GRAND PARKWAY S, SUITE 100
    RICHMOND, TX
    ZIP 77406
  • Facility Phone: 281 214-8473
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BOCHEN TONG
  • NPI Number: 1275367815
  • Taxonomy: 207QA0505X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2307827
LAB Type Physician Office
Facility Name LIFETIME MEDICAL
Street 7790 W GRAND PARKWAY S, SUITE 100
City RICHMOND
State TX
ZIP 77406
Phone 281 214-8473
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2024
Certificate Expiration Date 7/15/2026
Facility Type Physician Office
Lab Director DR. BOCHEN TONG

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