45D2233433 CLIA NUMBER - ICARE PEDIATRICS PLLC

Laboratory Demographics

  • CLIA Code: 45D2233433
  • Facility Name: ICARE PEDIATRICS PLLC
  • Facility Address: 9 PROFESSIONAL PARK DR STE C
    WEBSTER, TX
    ZIP 77598
  • Facility Phone: 832 284-7083
  • Facility Type: Other - PEDIATRIC CLINIC
  • Facility Type: Waiver
  • Lab Director: LA TOSHA HOLMES
  • NPI Number: 1396410528
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2233433
LAB Type Other - PEDIATRIC CLINIC
Facility Name ICARE PEDIATRICS PLLC
Street 9 PROFESSIONAL PARK DR STE C
City WEBSTER
State TX
ZIP 77598
Phone 832 284-7083
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2025
Certificate Expiration Date 8/22/2027
Facility Type Other - PEDIATRIC CLINIC
Lab Director LA TOSHA HOLMES

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