45D2097569 CLIA NUMBER - LONE STAR MEDPED PLLC

Laboratory Demographics

  • CLIA Code: 45D2097569
  • Facility Name: LONE STAR MEDPED PLLC
  • Facility Address: 6033 AIRLINE DR STE C
    HOUSTON, TX
    ZIP 77076
  • Facility Phone: (713) 694-2808
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PRAYMAL THAKRAR
  • NPI Number: 1386046936
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2097569
LAB Type Physician Office
Facility Name LONE STAR MEDPED PLLC
Street 6033 AIRLINE DR STE C
City HOUSTON
State TX
ZIP 77076
Phone 7136942808
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2025
Certificate Expiration Date 6/17/2027
Facility Type Physician Office
Lab Director PRAYMAL THAKRAR

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This page was last updated on: 5/15/2026