45D1101862 CLIA NUMBER - BETHESDA PEDIATRICS

Laboratory Demographics

  • CLIA Code: 45D1101862
  • Facility Name: BETHESDA PEDIATRICS
  • Facility Address: 1350 E RICHARDS
    TYLER, TX
    ZIP 75702
  • Facility Phone: 903 531-9455
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANNY PRICE, MD
  • NPI Number: 1265613285
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1101862
LAB Type Physician Office
Facility Name BETHESDA PEDIATRICS
Street 1350 E RICHARDS
City TYLER
State TX
ZIP 75702
Phone 903 531-9455
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/7/2025
Certificate Expiration Date 7/6/2027
Facility Type Physician Office
Lab Director DANNY PRICE, MD

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