45D2040849 CLIA NUMBER - PEGGY WONGSA MD

Laboratory Demographics

  • CLIA Code: 45D2040849
  • Facility Name: PEGGY WONGSA MD
  • Facility Address: 21212 NORTHWEST FWY STE 215
    CYPRESS, TX
    ZIP 77429
  • Facility Phone: 281 897-1122
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PEGGY P. WONGSA
  • NPI Number: 1699743674
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2040849
LAB Type Physician Office
Facility Name PEGGY WONGSA MD
Street 21212 NORTHWEST FWY STE 215
City CYPRESS
State TX
ZIP 77429
Phone 281 897-1122
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2024
Certificate Expiration Date 5/9/2026
Facility Type Physician Office
Lab Director PEGGY P. WONGSA

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