45D0991271 CLIA NUMBER - MEDCARE PEDIATRIC THERAPY, LP

Laboratory Demographics

  • CLIA Code: 45D0991271
  • Facility Name: MEDCARE PEDIATRIC THERAPY, LP
  • Facility Address: 12371 S KIRKWOOD
    STAFFORD, TX
    ZIP 77477
  • Facility Phone: 713 779-9300
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: PAIGE KINKADE
  • NPI Number: 1114453404
  • Taxonomy: 261QR0401X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0991271
LAB Type Home Health Agency
Facility Name MEDCARE PEDIATRIC THERAPY, LP
Street 12371 S KIRKWOOD
City STAFFORD
State TX
ZIP 77477
Phone 713 779-9300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2023
Certificate Expiration Date 9/16/2025
Facility Type Home Health Agency
Lab Director PAIGE KINKADE

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This page was last updated on: 3/20/2025