45D1079707 CLIA NUMBER - HOMETOWN PEDIATRICS, PA

Laboratory Demographics

  • CLIA Code: 45D1079707
  • Facility Name: HOMETOWN PEDIATRICS, PA
  • Facility Address: 1595 LAKE FRONT CIRCLE
    THE WOODLANDS, TX
    ZIP 77380
  • Facility Phone: 281 292-8980
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KRISTIE R. CHANDLER, MD
  • NPI Number: 1467539841
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D1079707
LAB Type Physician Office
Facility Name HOMETOWN PEDIATRICS, PA
Street 1595 LAKE FRONT CIRCLE
City THE WOODLANDS
State TX
ZIP 77380
Phone 281 292-8980
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2024
Certificate Expiration Date 2/4/2026
Facility Type Physician Office
Lab Director KRISTIE R. CHANDLER, MD

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