45D0491643 CLIA NUMBER - TCPA PEARLAND

Laboratory Demographics

  • CLIA Code: 45D0491643
  • Facility Name: TCPA PEARLAND
  • Facility Address: 9001 BROADWAY STREET
    PEARLAND, TX
    ZIP 77584
  • Facility Phone: 281 412-5852
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAURA ANDERSON
  • NPI Number: 1922108067
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D0491643
LAB Type Physician Office
Facility Name TCPA PEARLAND
Street 9001 BROADWAY STREET
City PEARLAND
State TX
ZIP 77584
Phone 281 412-5852
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2025
Certificate Expiration Date 9/16/2027
Facility Type Physician Office
Lab Director LAURA ANDERSON

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