45D2194618 CLIA NUMBER - BIRD DOG PHARMA, LLC

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Laboratory Demographics

CLIA Number: 45D2194618

Facility Name: BIRD DOG PHARMA, LLC

Facility Address:
12242 QUEENSTON BLVD, SUITE E
HOUSTON, TX
ZIP 77095
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Facility Phone Number: 713 252-3579

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1265811699

Taxonomy: 293D00000X - Physiological Laboratory
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.

CLIA Record

Field Name	Field Value
CLIA Number	45D2194618
LAB Type	Physician Office
Facility Name	BIRD DOG PHARMA, LLC
Street	12242 QUEENSTON BLVD, SUITE E
City	HOUSTON
State	TX
ZIP	77095
Phone	713 252-3579
CertificateType	1
CertificateEffectiveDate	2/1/2024
CertificateExpirationDate	1/31/2026
FacilityType	Accreditation

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This page was last updated on: 4/23/2024