45D2114724 CLIA NUMBER - FAME PEDIATRICS PA

Laboratory Demographics

CLIA Number: 45D2114724

Facility Name: FAME PEDIATRICS PA

Facility Address:
11003 RESOURCE PARKWAY SUITE 105
HOUSTON, TX
ZIP 77089
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Facility Phone Number: 740 995-9080

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1508229394

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	45D2114724
LAB Type	Physician Office
Facility Name	FAME PEDIATRICS PA
Street	11003 RESOURCE PARKWAY SUITE 105
City	HOUSTON
State	TX
ZIP	77089
Phone	740 995-9080
CertificateType	4
CertificateEffectiveDate	6/21/2022
CertificateExpirationDate	6/20/2024
FacilityType	Waiver

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