45D1012881 CLIA NUMBER - FORT BEND PEDIATRICS

Laboratory Demographics

  • CLIA Code: 45D1012881
  • Facility Name: FORT BEND PEDIATRICS
  • Facility Address: 4646 RIVERSTONE BLVD
    MISSOURI CITY, TX
    ZIP 77459
  • Facility Phone: 281 499-1855
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIANO AMADOR
  • NPI Number: 1437519105
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1012881
LAB Type Physician Office
Facility Name FORT BEND PEDIATRICS
Street 4646 RIVERSTONE BLVD
City MISSOURI CITY
State TX
ZIP 77459
Phone 281 499-1855
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2025
Certificate Expiration Date 5/22/2027
Facility Type Physician Office
Lab Director MARIANO AMADOR

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