45D2031904 CLIA NUMBER - GENTLE PEDIATRICS, PLLC

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Laboratory Demographics

CLIA Number: 45D2031904

Facility Name: GENTLE PEDIATRICS, PLLC

Facility Address:
6909 BRISBANE COURT SUITE 100
SUGAR LAND, TX
ZIP 77479
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Facility Phone Number: 832 222-5437

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1275826018

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2031904
LAB Type	Physician Office
Facility Name	GENTLE PEDIATRICS, PLLC
Street	6909 BRISBANE COURT SUITE 100
City	SUGAR LAND
State	TX
ZIP	77479
Phone	832 222-5437
CertificateType	4
CertificateEffectiveDate	10/31/2023
CertificateExpirationDate	10/30/2025
FacilityType	Waiver

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