45D2250670 CLIA NUMBER - MAEVILLE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 45D2250670
  • Facility Name: MAEVILLE PEDIATRICS
  • Facility Address: 8540 BROADWAY STREET SUITE 205
    PEARLAND, TX
    ZIP 77584
  • Facility Phone: 832 582-7146
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARTHA M. SISSA
  • NPI Number: 1780344358
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2250670
LAB Type Physician Office
Facility Name MAEVILLE PEDIATRICS
Street 8540 BROADWAY STREET SUITE 205
City PEARLAND
State TX
ZIP 77584
Phone 832 582-7146
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/7/2025
Certificate Expiration Date 7/6/2027
Facility Type Physician Office
Lab Director MARTHA M. SISSA

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