45D2190916 CLIA NUMBER - WONDERFULLY MADE PEDIATRICS PLLC

Laboratory Demographics

  • CLIA Code: 45D2190916
  • Facility Name: WONDERFULLY MADE PEDIATRICS PLLC
  • Facility Address: 8035 HIGHWAY 6 SUITE 100
    MISSOURI CITY, TX
    ZIP 77459
  • Facility Phone: 832 930-7756
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KAREEN J. SMITH
  • NPI Number: 1720606163
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2190916
LAB Type Physician Office
Facility Name WONDERFULLY MADE PEDIATRICS PLLC
Street 8035 HIGHWAY 6 SUITE 100
City MISSOURI CITY
State TX
ZIP 77459
Phone 832 930-7756
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2024
Certificate Expiration Date 8/19/2026
Facility Type Physician Office
Lab Director KAREEN J. SMITH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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