45D2293865 CLIA NUMBER - SUMMIT PEDIATRICS

Laboratory Demographics

  • CLIA Code: 45D2293865
  • Facility Name: SUMMIT PEDIATRICS
  • Facility Address: 3251 HARVEY ROAD
    COLLEGE STATION, TX
    ZIP 77845
  • Facility Phone: 979 776-0700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEITH J. PAULL
  • NPI Number: 1548037740
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2293865
LAB Type Physician Office
Facility Name SUMMIT PEDIATRICS
Street 3251 HARVEY ROAD
City COLLEGE STATION
State TX
ZIP 77845
Phone 979 776-0700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2023
Certificate Expiration Date 11/14/2025
Facility Type Physician Office
Lab Director KEITH J. PAULL

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