45D2311413 CLIA NUMBER - CANDEROSA CLINIC PLLC

Laboratory Demographics

  • CLIA Code: 45D2311413
  • Facility Name: CANDEROSA CLINIC PLLC
  • Facility Address: 5324 NORTH FWY SUITE 140
    HOUSTON, TX
    ZIP 77022
  • Facility Phone: 832 919-8755
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROSALES MARTINEZ HORTENSIA
  • NPI Number: 1467295949
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2311413
LAB Type Physician Office
Facility Name CANDEROSA CLINIC PLLC
Street 5324 NORTH FWY SUITE 140
City HOUSTON
State TX
ZIP 77022
Phone 832 919-8755
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2024
Certificate Expiration Date 9/19/2026
Facility Type Physician Office
Lab Director ROSALES MARTINEZ HORTENSIA

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