45D0994916 CLIA NUMBER - JAVIER A GONZALEZ, MD, PA PEDIATRIC CLINIC

Laboratory Demographics

  • CLIA Code: 45D0994916
  • Facility Name: JAVIER A GONZALEZ, MD, PA PEDIATRIC CLINIC
  • Facility Address: 2307 FOURTH ST
    ROSENBERG, TX
    ZIP 77471
  • Facility Phone: 832 451-9290
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAVIER A. GONZALEZ MD
  • NPI Number: 1588657035
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D0994916
LAB Type Physician Office
Facility Name JAVIER A GONZALEZ, MD, PA PEDIATRIC CLINIC
Street 2307 FOURTH ST
City ROSENBERG
State TX
ZIP 77471
Phone 832 451-9290
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2024
Certificate Expiration Date 7/21/2026
Facility Type Physician Office
Lab Director JAVIER A. GONZALEZ MD

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