45D1092841 CLIA NUMBER - CHAMPIONS PEDIATRIC ASSOCIATES

Laboratory Demographics

  • CLIA Code: 45D1092841
  • Facility Name: CHAMPIONS PEDIATRIC ASSOCIATES
  • Facility Address: 18607 KUYKENDAHL ROAD
    SPRING, TX
    ZIP 77379
  • Facility Phone: 832 559-8227
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHAMS NANDWAN
  • NPI Number: 1043842156
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 45D1092841
LAB Type Physician Office
Facility Name CHAMPIONS PEDIATRIC ASSOCIATES
Street 18607 KUYKENDAHL ROAD
City SPRING
State TX
ZIP 77379
Phone 832 559-8227
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2024
Certificate Expiration Date 12/3/2026
Facility Type Physician Office
Lab Director SHAMS NANDWAN

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