45D1081229 CLIA NUMBER - ABC PEDIATRIC CLINIC PA

Laboratory Demographics

  • CLIA Code: 45D1081229
  • Facility Name: ABC PEDIATRIC CLINIC PA
  • Facility Address: 13711 WALLISVILLE RD
    HOUSTON, TX
    ZIP 77049
  • Facility Phone: 713 455-7777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SOGOL PAHLAVAN
  • NPI Number: 1417125642
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D1081229
LAB Type Physician Office
Facility Name ABC PEDIATRIC CLINIC PA
Street 13711 WALLISVILLE RD
City HOUSTON
State TX
ZIP 77049
Phone 713 455-7777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2024
Certificate Expiration Date 3/12/2026
Facility Type Physician Office
Lab Director SOGOL PAHLAVAN

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