45D2096090 CLIA NUMBER - CBP PEDIATRICS, PLLC

Laboratory Demographics

  • CLIA Code: 45D2096090
  • Facility Name: CBP PEDIATRICS, PLLC
  • Facility Address: 2640 W FM-544, SUITE 300
    WYLIE, TX
    ZIP 75098
  • Facility Phone: (972) 442-2273
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALEXANDRA N. WEBB
  • NPI Number: 1487032710
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2096090
LAB Type Physician Office
Facility Name CBP PEDIATRICS, PLLC
Street 2640 W FM-544, SUITE 300
City WYLIE
State TX
ZIP 75098
Phone 9724422273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2025
Certificate Expiration Date 5/14/2027
Facility Type Physician Office
Lab Director ALEXANDRA N. WEBB

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This page was last updated on: 5/15/2026