45D2011959 CLIA NUMBER - NASA CASA DE NINOS PEDIATRIC CENTER, PA

Laboratory Demographics

CLIA Number: 45D2011959

Facility Name: NASA CASA DE NINOS PEDIATRIC CENTER, PA

Facility Address:
1360 BEAMER ROAD, SUITE 108
HOUSTON, TX
ZIP 77089
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Facility Phone Number: 281 464-3780

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1023329117

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name Field Value
CLIA Number 45D2011959
LAB Type Physician Office
Facility Name NASA CASA DE NINOS PEDIATRIC CENTER, PA
Street 1360 BEAMER ROAD, SUITE 108
City HOUSTON
State TX
ZIP 77089
Phone 281 464-3780
CertificateType 4
CertificateEffectiveDate 8/25/2022
CertificateExpirationDate 8/24/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024