45D2124433 CLIA NUMBER - TEXAS CHILDREN'S HOSPITAL PRIMARY CARE PRACTICE

Laboratory Demographics

  • CLIA Code: 45D2124433
  • Facility Name: TEXAS CHILDREN'S HOSPITAL PRIMARY CARE PRACTICE
  • Facility Address: 5400 GRIGGS ROAD SUITE 101
    HOUSTON, TX
    ZIP 77021
  • Facility Phone: 832 822-6101
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TERESA K. DURYEA
  • NPI Number: 1861675506
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2124433
LAB Type Physician Office
Facility Name TEXAS CHILDREN'S HOSPITAL PRIMARY CARE PRACTICE
Street 5400 GRIGGS ROAD SUITE 101
City HOUSTON
State TX
ZIP 77021
Phone 832 822-6101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2025
Certificate Expiration Date 1/16/2027
Facility Type Physician Office
Lab Director TERESA K. DURYEA

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