45D2044652 CLIA NUMBER - SUNNYSIDE PEDIATRICS, PLLC

Laboratory Demographics

  • CLIA Code: 45D2044652
  • Facility Name: SUNNYSIDE PEDIATRICS, PLLC
  • Facility Address: 5817 PATTON STREET SUITE 101
    CORPUS CHRISTI, TX
    ZIP 78414
  • Facility Phone: 361 389-0103
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JESSICA ACEVEDO-GRACIA MD
  • NPI Number: 1265004394
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2044652
LAB Type Physician Office
Facility Name SUNNYSIDE PEDIATRICS, PLLC
Street 5817 PATTON STREET SUITE 101
City CORPUS CHRISTI
State TX
ZIP 78414
Phone 361 389-0103
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2024
Certificate Expiration Date 7/26/2026
Facility Type Physician Office
Lab Director JESSICA ACEVEDO-GRACIA MD

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