45D2076294 CLIA NUMBER - AISHA AHMED MD PA DBA TIDWELL PEDIATRICS

Laboratory Demographics

  • CLIA Code: 45D2076294
  • Facility Name: AISHA AHMED MD PA DBA TIDWELL PEDIATRICS
  • Facility Address: 536 EAST TIDWELL ROAD SUITE D
    HOUSTON, TX
    ZIP 77022
  • Facility Phone: 713 699-3488
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AISHA J. AHMED
  • NPI Number: 1023201118
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2076294
LAB Type Physician Office
Facility Name AISHA AHMED MD PA DBA TIDWELL PEDIATRICS
Street 536 EAST TIDWELL ROAD SUITE D
City HOUSTON
State TX
ZIP 77022
Phone 713 699-3488
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2024
Certificate Expiration Date 4/14/2026
Facility Type Physician Office
Lab Director AISHA J. AHMED

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