45D2141714 CLIA NUMBER - PEDIATRIC URGENT CARE CENTER - DENTON

Laboratory Demographics

  • CLIA Code: 45D2141714
  • Facility Name: PEDIATRIC URGENT CARE CENTER - DENTON
  • Facility Address: 2215 S LOOP 288, SUITE 322
    DENTON, TX
    ZIP 76205
  • Facility Phone: 817 750-7334
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: MADELINE BROEMSEN
  • NPI Number: 1902444631
  • Taxonomy: 261QR0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2141714
LAB Type Other - URGENT CARE
Facility Name PEDIATRIC URGENT CARE CENTER - DENTON
Street 2215 S LOOP 288, SUITE 322
City DENTON
State TX
ZIP 76205
Phone 817 750-7334
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2023
Certificate Expiration Date 12/18/2025
Facility Type Other - URGENT CARE
Lab Director MADELINE BROEMSEN

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This page was last updated on: 3/20/2025