45D0928712 CLIA NUMBER - TCPA MEDICAL PLAZA PEDIATRICS

Laboratory Demographics

  • CLIA Code: 45D0928712
  • Facility Name: TCPA MEDICAL PLAZA PEDIATRICS
  • Facility Address: 1011 MEDICAL PLAZA DR, SUITE 220
    THE WOODLANDS, TX
    ZIP 77380
  • Facility Phone: 281 296-9119
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAMREEN FAROOQ
  • NPI Number: 1740380971
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D0928712
LAB Type Physician Office
Facility Name TCPA MEDICAL PLAZA PEDIATRICS
Street 1011 MEDICAL PLAZA DR, SUITE 220
City THE WOODLANDS
State TX
ZIP 77380
Phone 281 296-9119
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2024
Certificate Expiration Date 7/7/2026
Facility Type Physician Office
Lab Director SAMREEN FAROOQ

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