45D2021048 CLIA NUMBER - MORNINGSTAR PEDIATRICS

Laboratory Demographics

  • CLIA Code: 45D2021048
  • Facility Name: MORNINGSTAR PEDIATRICS
  • Facility Address: 940 RIDGEVIEW DRIVE, SUITE 130
    ALLEN, TX
    ZIP 75013
  • Facility Phone: 972 608-0774
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUTHA THOMAS
  • NPI Number: 1730347840
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2021048
LAB Type Physician Office
Facility Name MORNINGSTAR PEDIATRICS
Street 940 RIDGEVIEW DRIVE, SUITE 130
City ALLEN
State TX
ZIP 75013
Phone 972 608-0774
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2025
Certificate Expiration Date 3/3/2027
Facility Type Physician Office
Lab Director SUTHA THOMAS

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