45D2178420 CLIA NUMBER - PEARLAND CHILDREN'S CENTER, PA

Laboratory Demographics

  • CLIA Code: 45D2178420
  • Facility Name: PEARLAND CHILDREN'S CENTER, PA
  • Facility Address: 11041 SHADOW CREEK PKWY STE 123
    PEARLAND, TX
    ZIP 77584
  • Facility Phone: 713 436-5550
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MATTHEW J. KIM
  • NPI Number: 1164076618
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2178420
LAB Type Physician Office
Facility Name PEARLAND CHILDREN'S CENTER, PA
Street 11041 SHADOW CREEK PKWY STE 123
City PEARLAND
State TX
ZIP 77584
Phone 713 436-5550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2024
Certificate Expiration Date 2/2/2026
Facility Type Physician Office
Lab Director MATTHEW J. KIM

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