45D2101714 CLIA NUMBER - PEDIATRIC & ADOLESCENT CENTER OF NW HOUSTON PA

Laboratory Demographics

  • CLIA Code: 45D2101714
  • Facility Name: PEDIATRIC & ADOLESCENT CENTER OF NW HOUSTON PA
  • Facility Address: 14502 CYPRESS MILL PLACE BLVD
    CYPRESS, TX
    ZIP 77429
  • Facility Phone: 281 374-9700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELIZABETH S. FOWLER
  • NPI Number: 1952785107
  • Taxonomy: 2251P0200X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 45D2101714
LAB Type Physician Office
Facility Name PEDIATRIC & ADOLESCENT CENTER OF NW HOUSTON PA
Street 14502 CYPRESS MILL PLACE BLVD
City CYPRESS
State TX
ZIP 77429
Phone 281 374-9700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2025
Certificate Expiration Date 9/7/2027
Facility Type Physician Office
Lab Director ELIZABETH S. FOWLER

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