45D1060047 CLIA NUMBER - MD PEDIATRIC ASSOCIATES FLOWER MOUND LABORATORY

Laboratory Demographics

  • CLIA Code: 45D1060047
  • Facility Name: MD PEDIATRIC ASSOCIATES FLOWER MOUND LABORATORY
  • Facility Address: 2560 CENTRAL PARK AVENUE, SUITE 195
    FLOWER MOUND, TX
    ZIP 75028
  • Facility Phone: 972 420-1475
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RALPH J. FITZGERALD
  • NPI Number: 1013922731
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D1060047
LAB Type Physician Office
Facility Name MD PEDIATRIC ASSOCIATES FLOWER MOUND LABORATORY
Street 2560 CENTRAL PARK AVENUE, SUITE 195
City FLOWER MOUND
State TX
ZIP 75028
Phone 972 420-1475
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2024
Certificate Expiration Date 2/28/2026
Facility Type Physician Office
Lab Director RALPH J. FITZGERALD

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