45D0706528 CLIA NUMBER - KATY PEDIATRIC ASSOCIATES

Laboratory Demographics

  • CLIA Code: 45D0706528
  • Facility Name: KATY PEDIATRIC ASSOCIATES
  • Facility Address: 2051 GREENHOUSE RD SUITE 120
    HOUSTON, TX
    ZIP 77084
  • Facility Phone: 281 492-7676
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ASMAA TOHAMI FOTOUH
  • NPI Number: 1003091356
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D0706528
LAB Type Physician Office
Facility Name KATY PEDIATRIC ASSOCIATES
Street 2051 GREENHOUSE RD SUITE 120
City HOUSTON
State TX
ZIP 77084
Phone 281 492-7676
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2023
Certificate Expiration Date 10/18/2025
Facility Type Physician Office
Lab Director ASMAA TOHAMI FOTOUH

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