45D1046447 CLIA NUMBER - SPRING CREEK PEDIATRIC CENTER

Laboratory Demographics

  • CLIA Code: 45D1046447
  • Facility Name: SPRING CREEK PEDIATRIC CENTER
  • Facility Address: 106 SPRINGWOOD DRIVE STE 100
    VICTORIA, TX
    ZIP 77904
  • Facility Phone: 361 572-9400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MINAXI P. PAREKH
  • NPI Number: 1184809352
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D1046447
LAB Type Physician Office
Facility Name SPRING CREEK PEDIATRIC CENTER
Street 106 SPRINGWOOD DRIVE STE 100
City VICTORIA
State TX
ZIP 77904
Phone 361 572-9400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2023
Certificate Expiration Date 10/9/2025
Facility Type Physician Office
Lab Director MINAXI P. PAREKH

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