45D0978216 CLIA NUMBER - COOK CHILDREN'S PHYSICIANS NETWORK

Laboratory Demographics

  • CLIA Code: 45D0978216
  • Facility Name: COOK CHILDREN'S PHYSICIANS NETWORK
  • Facility Address: 1601 KELLER PARKWAY
    KELLER, TX
    ZIP 76248
  • Facility Phone: 817 431-1450
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KIM MATLOCK MD

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CLIA Record

Field Name Field Value
CLIA Number 45D0978216
LAB Type Physician Office
Facility Name COOK CHILDREN'S PHYSICIANS NETWORK
Street 1601 KELLER PARKWAY
City KELLER
State TX
ZIP 76248
Phone 817 431-1450
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/19/2024
Certificate Expiration Date 9/18/2026
Facility Type Physician Office
Lab Director KIM MATLOCK MD

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This page was last updated on: 3/20/2025