45D1097950 CLIA NUMBER - TCPA SHADOW CREEK RANCH

Laboratory Demographics

  • CLIA Code: 45D1097950
  • Facility Name: TCPA SHADOW CREEK RANCH
  • Facility Address: 1901 KIRBY DRIVE #109
    PEARLAND, TX
    ZIP 77584
  • Facility Phone: 281 412-5852
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WENDY W. VALICEK
  • NPI Number: 1861712804
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D1097950
LAB Type Physician Office
Facility Name TCPA SHADOW CREEK RANCH
Street 1901 KIRBY DRIVE #109
City PEARLAND
State TX
ZIP 77584
Phone 281 412-5852
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2025
Certificate Expiration Date 4/6/2027
Facility Type Physician Office
Lab Director WENDY W. VALICEK

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