45D1049014 CLIA NUMBER - WESTSIDE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 45D1049014
  • Facility Name: WESTSIDE PEDIATRICS
  • Facility Address: 21222 KINGSLAND BLVD
    KATY, TX
    ZIP 77450
  • Facility Phone: 281 578-5788
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AGNES I. KISCH
  • NPI Number: 1225676547
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D1049014
LAB Type Physician Office
Facility Name WESTSIDE PEDIATRICS
Street 21222 KINGSLAND BLVD
City KATY
State TX
ZIP 77450
Phone 281 578-5788
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2024
Certificate Expiration Date 8/28/2026
Facility Type Physician Office
Lab Director AGNES I. KISCH

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