1. Home
  2. Directory
  3. Texas
  4. Cypress
  5. Pediatrics
  6. NPI Profile

MAGNOLIA LANE PEDIATRICS PLLC
NPI 1144932328
Pediatrics in Cypress, TX

Active since December 19, 2022CLIA 45D2285010 · Waiver
17110 HOUSE AND HAHL ROAD, SUITE A, CYPRESS, TX 77433(346) 331-4657 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 15, 2023, Dec 19, 2022 (2 updates tracked since 2022).

About Magnolia Lane Pediatrics Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAGNOLIA LANE PEDIATRICS PLLC (NPI 1144932328) is a healthcare organization registered as a pediatrics in Cypress, Texas and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through July 2, 2027 and lists Suyearn Yu, President, as its authorized official.

NPPES Registry Identity

NPI1144932328
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMAGNOLIA LANE PEDIATRICS PLLC
Location Address17110 HOUSE AND HAHL ROAD, SUITE ACypress, TX 77433
Mailing Address17110 House And Hahl Road, Suite ACypress, TX 77433 · (346) 331-4657
Phone(346) 331-4657
Organization SubpartNo
Authorized OfficialSuyearn YuPresident · (346) 331-4657
Enumeration DateDecember 19, 2022
Last NPPES UpdateApril 23, 20252 updates tracked since enumeration
NPPES CertifiedApril 23, 2025
✔ NPI 1144932328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
17110 HOUSE AND HAHL ROAD, Cypress, TX 77433
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2285010

Magnolia Lane Pediatrics · Cypress, TX
Active · expires Jul 2, 2027
CLIA Number45D2285010
Laboratory TypePhysician Office
Certificate Effective DateJuly 3, 2025
Certificate Expiration DateJuly 2, 2027
Laboratory DirectorSuyearn Yi MD
Laboratory Phone(346) 331-4657
Laboratory LocationMagnolia Lane Pediatrics16702 House Hahl Rd Bldg 3, Cypress, TX 77433
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Magnolia Lane Pediatrics PLLC's NPI number?

The NPI number for Magnolia Lane Pediatrics PLLC is 1144932328. It was assigned to this organization in the NPPES registry on December 19, 2022.

Where is Magnolia Lane Pediatrics PLLC located?

Magnolia Lane Pediatrics PLLC is located at 17110 House And Hahl Road Suite A, Cypress, TX 77433. The listed phone number is (346) 331-4657.

What is Magnolia Lane Pediatrics PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Magnolia Lane Pediatrics PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2285010) is associated with this NPI, valid through July 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Magnolia Lane Pediatrics PLLC was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.