45D1016047 CLIA NUMBER - RIVER VALLEY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 45D1016047
  • Facility Name: RIVER VALLEY PEDIATRICS
  • Facility Address: 2115 STEPHENS PLACE, #100
    NEW BRAUNFELS, TX
    ZIP 78130
  • Facility Phone: 830 379-7334
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IVONNE CARREON
  • NPI Number: 1164744165
  • Taxonomy: 2084N0600X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 45D1016047
LAB Type Physician Office
Facility Name RIVER VALLEY PEDIATRICS
Street 2115 STEPHENS PLACE, #100
City NEW BRAUNFELS
State TX
ZIP 78130
Phone 830 379-7334
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2025
Certificate Expiration Date 8/18/2027
Facility Type Physician Office
Lab Director IVONNE CARREON

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