45D1041995 CLIA NUMBER - HEAVENLY CHILDRENS

Laboratory Demographics

  • CLIA Code: 45D1041995
  • Facility Name: HEAVENLY CHILDRENS
  • Facility Address: 806 SOUTH CAGE SUITE B
    PHARR, TX
    ZIP 78577
  • Facility Phone: 956 283-8990
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: PETER DY
  • NPI Number: 1497760375
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D1041995
LAB Type Physician Office
Facility Name HEAVENLY CHILDRENS
Street 806 SOUTH CAGE SUITE B
City PHARR
State TX
ZIP 78577
Phone 956 283-8990
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 11/27/2023
Certificate Expiration Date 11/26/2025
Facility Type Physician Office
Lab Director PETER DY

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