45D1039949 CLIA NUMBER - CLINICA PEDIATRICA HISPANA

Laboratory Demographics

  • CLIA Code: 45D1039949
  • Facility Name: CLINICA PEDIATRICA HISPANA
  • Facility Address: 9226 HAMMERLY BLVD
    HOUSTON, TX
    ZIP 77080
  • Facility Phone: 713 468-0222
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JORGE S. MENDOZA RAMIREZ
  • NPI Number: 1710159538
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D1039949
LAB Type Physician Office
Facility Name CLINICA PEDIATRICA HISPANA
Street 9226 HAMMERLY BLVD
City HOUSTON
State TX
ZIP 77080
Phone 713 468-0222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2025
Certificate Expiration Date 4/25/2027
Facility Type Physician Office
Lab Director JORGE S. MENDOZA RAMIREZ

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