45D0968487 CLIA NUMBER - FAMILYCARE PEDIATRIC CLINIC

Laboratory Demographics

  • CLIA Code: 45D0968487
  • Facility Name: FAMILYCARE PEDIATRIC CLINIC
  • Facility Address: 12060 BELLAIRE BLVD, SUITE D
    HOUSTON, TX
    ZIP 77072
  • Facility Phone: 281 993-7900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TUAN H. NGUYEN
  • NPI Number: 1053465617
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D0968487
LAB Type Physician Office
Facility Name FAMILYCARE PEDIATRIC CLINIC
Street 12060 BELLAIRE BLVD, SUITE D
City HOUSTON
State TX
ZIP 77072
Phone 281 993-7900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type Physician Office
Lab Director TUAN H. NGUYEN

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