45D2254929 CLIA NUMBER - PROACTIVE PEDIATRIC NURSING SERVICES PLLC

Laboratory Demographics

  • CLIA Code: 45D2254929
  • Facility Name: PROACTIVE PEDIATRIC NURSING SERVICES PLLC
  • Facility Address: 17711 SAUKI LANE
    RICHMOND, TX
    ZIP 77407
  • Facility Phone: 713 360-7634
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DESTINY UGWU
  • NPI Number: 1477168615
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D2254929
LAB Type Home Health Agency
Facility Name PROACTIVE PEDIATRIC NURSING SERVICES PLLC
Street 17711 SAUKI LANE
City RICHMOND
State TX
ZIP 77407
Phone 713 360-7634
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/9/2024
Certificate Expiration Date 3/8/2026
Facility Type Home Health Agency
Lab Director DESTINY UGWU

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