45D0897711 CLIA NUMBER - LONE STAR PEDIATRICS, PA

Laboratory Demographics

  • CLIA Code: 45D0897711
  • Facility Name: LONE STAR PEDIATRICS, PA
  • Facility Address: 1011 WEST GROVE ST SUITE 100
    KAUFMAN, TX
    ZIP 75142
  • Facility Phone: 972 932-1319
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHARLES T. LEWIS III
  • NPI Number: 1487843447
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D0897711
LAB Type Physician Office
Facility Name LONE STAR PEDIATRICS, PA
Street 1011 WEST GROVE ST SUITE 100
City KAUFMAN
State TX
ZIP 75142
Phone 972 932-1319
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2024
Certificate Expiration Date 2/28/2026
Facility Type Physician Office
Lab Director CHARLES T. LEWIS III

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