45D1044574 CLIA NUMBER - JENNIFER HUDMAN MD PA AZLE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 45D1044574
  • Facility Name: JENNIFER HUDMAN MD PA AZLE PEDIATRICS
  • Facility Address: 604 SOUTHEAST PARKWAY
    AZLE, TX
    ZIP 76020
  • Facility Phone: 817 270-2320
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER M. HUDMAN MD
  • NPI Number: 1619955432
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D1044574
LAB Type Physician Office
Facility Name JENNIFER HUDMAN MD PA AZLE PEDIATRICS
Street 604 SOUTHEAST PARKWAY
City AZLE
State TX
ZIP 76020
Phone 817 270-2320
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2025
Certificate Expiration Date 8/22/2027
Facility Type Physician Office
Lab Director JENNIFER M. HUDMAN MD

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