45D1047354 CLIA NUMBER - BAY COLONY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 45D1047354
  • Facility Name: BAY COLONY PEDIATRICS
  • Facility Address: 2251 FM 646 SUITE 155
    DICKINSON, TX
    ZIP 77539
  • Facility Phone: 281 614-2445
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAHALAKSHMI RAMCHANDRA
  • NPI Number: 1205971629
  • Taxonomy: 1223G0001X - Dentist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D1047354
LAB Type Physician Office
Facility Name BAY COLONY PEDIATRICS
Street 2251 FM 646 SUITE 155
City DICKINSON
State TX
ZIP 77539
Phone 281 614-2445
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2023
Certificate Expiration Date 11/1/2025
Facility Type Physician Office
Lab Director MAHALAKSHMI RAMCHANDRA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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