45D2096237 CLIA NUMBER - AIRLINE DOCTORS FAMILY & PEDIATRIC LLC

Laboratory Demographics

CLIA Number: 45D2096237

Facility Name: AIRLINE DOCTORS FAMILY & PEDIATRIC LLC

Facility Address:
5990 AIRLINE DR SUITE 170
HOUSTON, TX
ZIP 77076
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Facility Phone Number: 713 884-8070

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1295149144

Taxonomy: 2080A0000X - Pediatrics
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

CLIA Record

Field Name Field Value
CLIA Number 45D2096237
LAB Type Physician Office
Facility Name AIRLINE DOCTORS FAMILY & PEDIATRIC LLC
Street 5990 AIRLINE DR SUITE 170
City HOUSTON
State TX
ZIP 77076
Phone 713 884-8070
CertificateType 4
CertificateEffectiveDate 5/19/2023
CertificateExpirationDate 5/18/2025
FacilityType Waiver

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