45D1050162 CLIA NUMBER - VIP PEDIATRICS PA

Laboratory Demographics

  • CLIA Code: 45D1050162
  • Facility Name: VIP PEDIATRICS PA
  • Facility Address: 2727 GRAMERCY ST #225
    HOUSTON, TX
    ZIP 77025
  • Facility Phone: 713 665-4570
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEOFFREY K. WOLENS
  • NPI Number: 1952439283
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D1050162
LAB Type Physician Office
Facility Name VIP PEDIATRICS PA
Street 2727 GRAMERCY ST #225
City HOUSTON
State TX
ZIP 77025
Phone 713 665-4570
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2024
Certificate Expiration Date 1/25/2026
Facility Type Physician Office
Lab Director JEOFFREY K. WOLENS

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