45D2271709 CLIA NUMBER - SELECT INTERNAL MEDICINE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 45D2271709
  • Facility Name: SELECT INTERNAL MEDICINE PEDIATRICS
  • Facility Address: 7619 BRANFORD PLACE STE 210
    SUGAR LAND, TX
    ZIP 77479
  • Facility Phone: 832 492-2082
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CO MAY D. PASDAR-SHIRAZI
  • NPI Number: 1598489361
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2271709
LAB Type Physician Office
Facility Name SELECT INTERNAL MEDICINE PEDIATRICS
Street 7619 BRANFORD PLACE STE 210
City SUGAR LAND
State TX
ZIP 77479
Phone 832 492-2082
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2024
Certificate Expiration Date 11/6/2026
Facility Type Physician Office
Lab Director CO MAY D. PASDAR-SHIRAZI

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