45D2303509 CLIA NUMBER - AMERICLINIC KIDS (A D/B/A GLADSTONE TELEHEALTH, PLLC)

Laboratory Demographics

  • CLIA Code: 45D2303509
  • Facility Name: AMERICLINIC KIDS (A D/B/A GLADSTONE TELEHEALTH, PLLC)
  • Facility Address: 4775 WEST PANTHER CREEK DR, SUITE C300
    THE WOODLANDS, TX
    ZIP 77381
  • Facility Phone: 832 472-9574
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ANDREW S. BUTLER
  • NPI Number: 1376113035
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2303509
LAB Type Practitioner Other
Facility Name AMERICLINIC KIDS (A D/B/A GLADSTONE TELEHEALTH, PLLC)
Street 4775 WEST PANTHER CREEK DR, SUITE C300
City THE WOODLANDS
State TX
ZIP 77381
Phone 832 472-9574
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2024
Certificate Expiration Date 4/24/2026
Facility Type Practitioner Other
Lab Director ANDREW S. BUTLER

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