45D2266159 CLIA NUMBER - TCG INTERESTS, LLC (DBA PEDIATRIC HOME SERVICE)

Laboratory Demographics

  • CLIA Code: 45D2266159
  • Facility Name: TCG INTERESTS, LLC (DBA PEDIATRIC HOME SERVICE)
  • Facility Address: 9349 KIRBY DRIVE
    HOUSTON, TX
    ZIP 77054
  • Facility Phone: 713 383-2100
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CLIFFIC GUIDRY
  • NPI Number: 1073115630
  • Taxonomy: 251J00000X - Nursing Care

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CLIA Record

Field Name Field Value
CLIA Number 45D2266159
LAB Type Pharmacy
Facility Name TCG INTERESTS, LLC (DBA PEDIATRIC HOME SERVICE)
Street 9349 KIRBY DRIVE
City HOUSTON
State TX
ZIP 77054
Phone 713 383-2100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2024
Certificate Expiration Date 8/4/2026
Facility Type Pharmacy
Lab Director CLIFFIC GUIDRY

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