45D2097569 CLIA NUMBER - LONE STAR MEDPED PLLC

Laboratory Demographics

CLIA Number: 45D2097569

Facility Name: LONE STAR MEDPED PLLC

Facility Address:
6033 AIRLINE DR STE C
HOUSTON, TX
ZIP 77076
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Facility Phone Number: 713 694-2808

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1386046936

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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 713 694-2808
CertificateType 4
CertificateEffectiveDate 6/18/2023
CertificateExpirationDate 6/17/2025
FacilityType Waiver

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