45D2004262 CLIA NUMBER - ALEXANDRA PELLICENA MD PA

Laboratory Demographics

  • CLIA Code: 45D2004262
  • Facility Name: ALEXANDRA PELLICENA MD PA
  • Facility Address: 1919 NORTH LOOP WEST # 215
    HOUSTON, TX
    ZIP 77008
  • Facility Phone: 713 370-7325
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALEXANDRA PELLICENA
  • NPI Number: 1982184321
  • Taxonomy: 101YP2500X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 45D2004262
LAB Type Physician Office
Facility Name ALEXANDRA PELLICENA MD PA
Street 1919 NORTH LOOP WEST # 215
City HOUSTON
State TX
ZIP 77008
Phone 713 370-7325
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2024
Certificate Expiration Date 3/1/2026
Facility Type Physician Office
Lab Director ALEXANDRA PELLICENA

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