45D1021264 CLIA NUMBER - STONEBRIDGE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 45D1021264
  • Facility Name: STONEBRIDGE PEDIATRICS
  • Facility Address: 5561 VIRGINIA PKWY, SUITE 100
    MCKINNEY, TX
    ZIP 75071
  • Facility Phone: 214 544-2555
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: JEFFREY J. ALVIS
  • NPI Number: 1174827513
  • Taxonomy: 213ES0103X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 45D1021264
LAB Type Independent
Facility Name STONEBRIDGE PEDIATRICS
Street 5561 VIRGINIA PKWY, SUITE 100
City MCKINNEY
State TX
ZIP 75071
Phone 214 544-2555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2024
Certificate Expiration Date 5/7/2026
Facility Type Independent
Lab Director JEFFREY J. ALVIS

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