45D2129843 CLIA NUMBER - WILDFLOWER PEDIATRICS

Laboratory Demographics

  • CLIA Code: 45D2129843
  • Facility Name: WILDFLOWER PEDIATRICS
  • Facility Address: 11609 ANDERSON MILL ROAD
    AUSTIN, TX
    ZIP 78750
  • Facility Phone: 512 900-6055
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. COURTNEY R. DUDLEY
  • NPI Number: 1639604184
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2129843
LAB Type Physician Office
Facility Name WILDFLOWER PEDIATRICS
Street 11609 ANDERSON MILL ROAD
City AUSTIN
State TX
ZIP 78750
Phone 512 900-6055
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/12/2025
Certificate Expiration Date 2/11/2027
Facility Type Physician Office
Lab Director DR. COURTNEY R. DUDLEY

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