45D0952487 CLIA NUMBER - PEDIPLACE

Laboratory Demographics

  • CLIA Code: 45D0952487
  • Facility Name: PEDIPLACE
  • Facility Address: 502 SOUTH OLD ORCHARD SUITE 126
    LEWISVILLE, TX
    ZIP 75067
  • Facility Phone: 972 436-7962
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: CASSANDRA R. SINGLETON
  • NPI Number: 1467573311
  • Taxonomy: 363LP0200X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D0952487
LAB Type Independent
Facility Name PEDIPLACE
Street 502 SOUTH OLD ORCHARD SUITE 126
City LEWISVILLE
State TX
ZIP 75067
Phone 972 436-7962
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2024
Certificate Expiration Date 9/21/2026
Facility Type Independent
Lab Director CASSANDRA R. SINGLETON

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