45D2064048 CLIA NUMBER - PEDIATRIC & ADOLESCENT CARE

Laboratory Demographics

  • CLIA Code: 45D2064048
  • Facility Name: PEDIATRIC & ADOLESCENT CARE
  • Facility Address: 2825 BELTLINE ROAD, SUITE #103
    GARLAND, TX
    ZIP 75044
  • Facility Phone: 469 814-0456
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LINA N. AL-DAHHAN
  • NPI Number: 1386985141
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2064048
LAB Type Physician Office
Facility Name PEDIATRIC & ADOLESCENT CARE
Street 2825 BELTLINE ROAD, SUITE #103
City GARLAND
State TX
ZIP 75044
Phone 469 814-0456
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2023
Certificate Expiration Date 8/12/2025
Facility Type Physician Office
Lab Director LINA N. AL-DAHHAN

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This page was last updated on: 3/20/2025