45D2087701 CLIA NUMBER - FIREFLY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 45D2087701
  • Facility Name: FIREFLY PEDIATRICS
  • Facility Address: 2148 JACKSON KELLER ROAD
    SAN ANTONIO, TX
    ZIP 78213
  • Facility Phone: 210 501-0703
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALELI MASAJO
  • NPI Number: 1952727109
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2087701
LAB Type Physician Office
Facility Name FIREFLY PEDIATRICS
Street 2148 JACKSON KELLER ROAD
City SAN ANTONIO
State TX
ZIP 78213
Phone 210 501-0703
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2024
Certificate Expiration Date 12/1/2026
Facility Type Physician Office
Lab Director ALELI MASAJO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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