45D2321531 CLIA NUMBER - CLINICA HISPANA RICHMOND

Laboratory Demographics

  • CLIA Code: 45D2321531
  • Facility Name: CLINICA HISPANA RICHMOND
  • Facility Address: 9397 RICHMOND AVE
    HOUSTON, TX
    ZIP 77063
  • Facility Phone: 832 582-5447
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: JESUS ALBERTO PALMA FUOMAN
  • NPI Number: 1710743059
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2321531
LAB Type Community Clinic
Facility Name CLINICA HISPANA RICHMOND
Street 9397 RICHMOND AVE
City HOUSTON
State TX
ZIP 77063
Phone 832 582-5447
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2025
Certificate Expiration Date 4/3/2027
Facility Type Community Clinic
Lab Director JESUS ALBERTO PALMA FUOMAN

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