45D2087854 CLIA NUMBER - SGH PEDIATRICS, PLLC

Laboratory Demographics

  • CLIA Code: 45D2087854
  • Facility Name: SGH PEDIATRICS, PLLC
  • Facility Address: 800 W ARBROOK BLVD SUITE 300
    ARLINGTON, TX
    ZIP 76015
  • Facility Phone: 817 375-5755
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STACEY L. GIBSON-HULL
  • NPI Number: 1780089045
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2087854
LAB Type Physician Office
Facility Name SGH PEDIATRICS, PLLC
Street 800 W ARBROOK BLVD SUITE 300
City ARLINGTON
State TX
ZIP 76015
Phone 817 375-5755
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2024
Certificate Expiration Date 12/4/2026
Facility Type Physician Office
Lab Director STACEY L. GIBSON-HULL

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