45D2115748 CLIA NUMBER - CHILDREN'S MEMORIAL HERMANN PEDIATRICS ATASCOCITA

Laboratory Demographics

  • CLIA Code: 45D2115748
  • Facility Name: CHILDREN'S MEMORIAL HERMANN PEDIATRICS ATASCOCITA
  • Facility Address: 17903 WEST LAKE HOUSTON PARKWAY SUITE 202
    HUMBLE, TX
    ZIP 77346
  • Facility Phone: 713 338-7942
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEEPTI MISHRA
  • NPI Number: 1891283396
  • Taxonomy: 208M00000X - Hospitalist

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CLIA Record

Field Name Field Value
CLIA Number 45D2115748
LAB Type Physician Office
Facility Name CHILDREN'S MEMORIAL HERMANN PEDIATRICS ATASCOCITA
Street 17903 WEST LAKE HOUSTON PARKWAY SUITE 202
City HUMBLE
State TX
ZIP 77346
Phone 713 338-7942
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2024
Certificate Expiration Date 7/11/2026
Facility Type Physician Office
Lab Director DEEPTI MISHRA

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