45D2139724 CLIA NUMBER - RYAN PEDIATRICS, PLLC

Laboratory Demographics

  • CLIA Code: 45D2139724
  • Facility Name: RYAN PEDIATRICS, PLLC
  • Facility Address: 1301 HOSPITAL BLVD, SUITE B
    FLORESVILLE, TX
    ZIP 78114
  • Facility Phone: 830 399-7256
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALLISON M. RYAN
  • NPI Number: 1255870184
  • Taxonomy: 363LP0200X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2139724
LAB Type Physician Office
Facility Name RYAN PEDIATRICS, PLLC
Street 1301 HOSPITAL BLVD, SUITE B
City FLORESVILLE
State TX
ZIP 78114
Phone 830 399-7256
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2023
Certificate Expiration Date 11/6/2025
Facility Type Physician Office
Lab Director ALLISON M. RYAN

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