45D2309009 CLIA NUMBER - NORTHEAST PEDIATRIC ASSOCIATES, PA

Laboratory Demographics

  • CLIA Code: 45D2309009
  • Facility Name: NORTHEAST PEDIATRIC ASSOCIATES, PA
  • Facility Address: 18772 FORTY SIX PKWY BLDG 6 STE C
    SPRING BRANCH, TX
    ZIP 78070
  • Facility Phone: 210 657-0220
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMANDA C. CARPENTER
  • NPI Number: 1902994080
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2309009
LAB Type Physician Office
Facility Name NORTHEAST PEDIATRIC ASSOCIATES, PA
Street 18772 FORTY SIX PKWY BLDG 6 STE C
City SPRING BRANCH
State TX
ZIP 78070
Phone 210 657-0220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2024
Certificate Expiration Date 8/7/2026
Facility Type Physician Office
Lab Director AMANDA C. CARPENTER

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