45D0996423 CLIA NUMBER - ADVANCED PEDIATRIC CARE, INC

Laboratory Demographics

  • CLIA Code: 45D0996423
  • Facility Name: ADVANCED PEDIATRIC CARE, INC
  • Facility Address: 3330 FANNIN
    BEAUMONT, TX
    ZIP 77701
  • Facility Phone: 409 832-3304
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DIANE C. SHAFFER
  • NPI Number: 1669407235
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 45D0996423
LAB Type Home Health Agency
Facility Name ADVANCED PEDIATRIC CARE, INC
Street 3330 FANNIN
City BEAUMONT
State TX
ZIP 77701
Phone 409 832-3304
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2024
Certificate Expiration Date 2/18/2026
Facility Type Home Health Agency
Lab Director DIANE C. SHAFFER

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