45D0881206 CLIA NUMBER - PEDIATRIC CENTER

Laboratory Demographics

  • CLIA Code: 45D0881206
  • Facility Name: PEDIATRIC CENTER
  • Facility Address: 1300 MAIN STREET
    RICHMOND, TX
    ZIP 77469
  • Facility Phone: 281 341-9696
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL E. BORNSTEIN
  • NPI Number: 1053492306
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D0881206
LAB Type Physician Office
Facility Name PEDIATRIC CENTER
Street 1300 MAIN STREET
City RICHMOND
State TX
ZIP 77469
Phone 281 341-9696
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2024
Certificate Expiration Date 1/7/2026
Facility Type Physician Office
Lab Director MICHAEL E. BORNSTEIN

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