45D2144205 CLIA NUMBER - LITTLE HAVEN PPECC LLC

Laboratory Demographics

  • CLIA Code: 45D2144205
  • Facility Name: LITTLE HAVEN PPECC LLC
  • Facility Address: 328 LORENALY DR, SUITE 100
    BROWNSVILLE, TX
    ZIP 78526
  • Facility Phone: 956 455-5849
  • Facility Type: Other - PRESCRIBED PEDIATRIC EXTE
  • Facility Type: Waiver
  • Lab Director: SHUBHRA SHARMA
  • NPI Number: 1346758844
  • Taxonomy: 261QM3000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2144205
LAB Type Other - PRESCRIBED PEDIATRIC EXTE
Facility Name LITTLE HAVEN PPECC LLC
Street 328 LORENALY DR, SUITE 100
City BROWNSVILLE
State TX
ZIP 78526
Phone 956 455-5849
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2024
Certificate Expiration Date 2/12/2026
Facility Type Other - PRESCRIBED PEDIATRIC EXTE
Lab Director SHUBHRA SHARMA

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