45D2247836 CLIA NUMBER - BLOSSOM PEDIATRICS AND LACTATION, PLLC

Laboratory Demographics

  • CLIA Code: 45D2247836
  • Facility Name: BLOSSOM PEDIATRICS AND LACTATION, PLLC
  • Facility Address: 6300 W LOOP S STE 290
    BELLAIRE, TX
    ZIP 77401
  • Facility Phone: 713 322-6679
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHIRLEY CHAN-RAMIREZ
  • NPI Number: 1700544897
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2247836
LAB Type Physician Office
Facility Name BLOSSOM PEDIATRICS AND LACTATION, PLLC
Street 6300 W LOOP S STE 290
City BELLAIRE
State TX
ZIP 77401
Phone 713 322-6679
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2024
Certificate Expiration Date 1/9/2026
Facility Type Physician Office
Lab Director SHIRLEY CHAN-RAMIREZ

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