45D2300388 CLIA NUMBER - ANGLETON PEDIATRIC CLINIC

Laboratory Demographics

  • CLIA Code: 45D2300388
  • Facility Name: ANGLETON PEDIATRIC CLINIC
  • Facility Address: 711 N VELASCO ST SUITE A
    ANGLETON, TX
    ZIP 77515
  • Facility Phone: 979 267-7668
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDWARD L. CHANG
  • NPI Number: 1184609562
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 45D2300388
LAB Type Physician Office
Facility Name ANGLETON PEDIATRIC CLINIC
Street 711 N VELASCO ST SUITE A
City ANGLETON
State TX
ZIP 77515
Phone 979 267-7668
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2024
Certificate Expiration Date 3/7/2026
Facility Type Physician Office
Lab Director EDWARD L. CHANG

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