45D1014974 CLIA NUMBER - CLINE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 45D1014974
  • Facility Name: CLINE PEDIATRICS
  • Facility Address: 624 FM 517 RD W
    DICKINSON, TX
    ZIP 77539
  • Facility Phone: 281 534-1300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIETTA D. CLINE
  • NPI Number: 1962555300
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D1014974
LAB Type Physician Office
Facility Name CLINE PEDIATRICS
Street 624 FM 517 RD W
City DICKINSON
State TX
ZIP 77539
Phone 281 534-1300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2025
Certificate Expiration Date 5/1/2027
Facility Type Physician Office
Lab Director MARIETTA D. CLINE

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