45D0961921 CLIA NUMBER - TCPA-NORTH SHORE

Laboratory Demographics

CLIA Number: 45D0961921

Facility Name: TCPA-NORTH SHORE

Facility Address:
5622 EAST SAM HOUSTON PARKWAY NORTH
HOUSTON, TX
ZIP 77015
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Facility Phone Number: 281 452-7575

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1265532402

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name Field Value
CLIA Number 45D0961921
LAB Type Physician Office
Facility Name TCPA-NORTH SHORE
Street 5622 EAST SAM HOUSTON PARKWAY NORTH
City HOUSTON
State TX
ZIP 77015
Phone 281 452-7575
CertificateType 4
CertificateEffectiveDate 6/21/2023
CertificateExpirationDate 6/20/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024