45D1030861 CLIA NUMBER - HEALTHY TEXAN PEDIATRICS

Laboratory Demographics

  • CLIA Code: 45D1030861
  • Facility Name: HEALTHY TEXAN PEDIATRICS
  • Facility Address: 7777 FOREST LANE C-550
    DALLAS, TX
    ZIP 75230
  • Facility Phone: 972 566-4286
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SHELLY WEISS
  • NPI Number: 1841419033
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D1030861
LAB Type Physician Office
Facility Name HEALTHY TEXAN PEDIATRICS
Street 7777 FOREST LANE C-550
City DALLAS
State TX
ZIP 75230
Phone 972 566-4286
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/16/2024
Certificate Expiration Date 10/15/2026
Facility Type Physician Office
Lab Director SHELLY WEISS

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