45D2207792 CLIA NUMBER - BUTTERCUP PEDIATRICS

Laboratory Demographics

  • CLIA Code: 45D2207792
  • Facility Name: BUTTERCUP PEDIATRICS
  • Facility Address: 27524 WESTRIDGE CREEK LN SUITE D
    KATY, TX
    ZIP 77494
  • Facility Phone: 281 505-1530
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VANESSA C. GONNELLA
  • NPI Number: 1588262695
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2207792
LAB Type Physician Office
Facility Name BUTTERCUP PEDIATRICS
Street 27524 WESTRIDGE CREEK LN SUITE D
City KATY
State TX
ZIP 77494
Phone 281 505-1530
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2024
Certificate Expiration Date 12/29/2026
Facility Type Physician Office
Lab Director VANESSA C. GONNELLA

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