45D2309511 CLIA NUMBER - BEN RAPHA MEDICAL CLINIC PLLC

Laboratory Demographics

  • CLIA Code: 45D2309511
  • Facility Name: BEN RAPHA MEDICAL CLINIC PLLC
  • Facility Address: 4910 WILLOWBEND BLVD SUITE B
    HOUSTON, TX
    ZIP 77035
  • Facility Phone: 713 701-7802
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANTHOSH B. KUMAR
  • NPI Number: 1992549596
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2309511
LAB Type Physician Office
Facility Name BEN RAPHA MEDICAL CLINIC PLLC
Street 4910 WILLOWBEND BLVD SUITE B
City HOUSTON
State TX
ZIP 77035
Phone 713 701-7802
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2024
Certificate Expiration Date 8/14/2026
Facility Type Physician Office
Lab Director SANTHOSH B. KUMAR

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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