45D2087617 CLIA NUMBER - PROSPER PEDIATRICS

Laboratory Demographics

  • CLIA Code: 45D2087617
  • Facility Name: PROSPER PEDIATRICS
  • Facility Address: 1000 N PRESTON ROAD SUITE 20
    PROSPER, TX
    ZIP 75078
  • Facility Phone: 469 296-8030
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SCOTT CHOWNING
  • NPI Number: 1720488646
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2087617
LAB Type Physician Office
Facility Name PROSPER PEDIATRICS
Street 1000 N PRESTON ROAD SUITE 20
City PROSPER
State TX
ZIP 75078
Phone 469 296-8030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2024
Certificate Expiration Date 11/30/2026
Facility Type Physician Office
Lab Director SCOTT CHOWNING

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