45D2317615 CLIA NUMBER - DM RESTOR CLINIC PLLC

Laboratory Demographics

  • CLIA Code: 45D2317615
  • Facility Name: DM RESTOR CLINIC PLLC
  • Facility Address: 1315 ST JOSEPH PKWY STE # 1200
    HOUSTON, TX
    ZIP 77002
  • Facility Phone: 346 618-5447
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ERIC TAIT
  • NPI Number: 1154038388
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2317615
LAB Type Physician Office
Facility Name DM RESTOR CLINIC PLLC
Street 1315 ST JOSEPH PKWY STE # 1200
City HOUSTON
State TX
ZIP 77002
Phone 346 618-5447
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2025
Certificate Expiration Date 1/27/2027
Facility Type Physician Office
Lab Director DR. ERIC TAIT

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