45D2329095 CLIA NUMBER - PRIMARY STEPS PEDIATRIC CLINIC, PLLC

Laboratory Demographics

  • CLIA Code: 45D2329095
  • Facility Name: PRIMARY STEPS PEDIATRIC CLINIC, PLLC
  • Facility Address: 2944 MERIDIANA PARKWAY, SUITE D
    ROSHARON, TX
    ZIP 77583
  • Facility Phone: 346 692-9161
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KRYSTAL L. JERRY
  • NPI Number: 1720898034
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2329095
LAB Type Physician Office
Facility Name PRIMARY STEPS PEDIATRIC CLINIC, PLLC
Street 2944 MERIDIANA PARKWAY, SUITE D
City ROSHARON
State TX
ZIP 77583
Phone 346 692-9161
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2025
Certificate Expiration Date 8/20/2027
Facility Type Physician Office
Lab Director KRYSTAL L. JERRY

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