45D2325610 CLIA NUMBER - LEGACY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 45D2325610
  • Facility Name: LEGACY PEDIATRICS
  • Facility Address: 7103 SOUTH PEEK ROAD, UNIT 500
    RICHMOND, TX
    ZIP 77407
  • Facility Phone: 346 620-6850
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DHANANJAY S. DEOSKAR
  • NPI Number: 1023797800
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2325610
LAB Type Physician Office
Facility Name LEGACY PEDIATRICS
Street 7103 SOUTH PEEK ROAD, UNIT 500
City RICHMOND
State TX
ZIP 77407
Phone 346 620-6850
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2025
Certificate Expiration Date 6/16/2027
Facility Type Physician Office
Lab Director DHANANJAY S. DEOSKAR

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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