45D2156582 CLIA NUMBER - CROSSROADS PEDIATRICS, PLLC

Laboratory Demographics

  • CLIA Code: 45D2156582
  • Facility Name: CROSSROADS PEDIATRICS, PLLC
  • Facility Address: 3401 GREENBRIAR SUITE 400
    MIDLAND, TX
    ZIP 79707
  • Facility Phone: 432 699-2378
  • Facility Type: Other - NURSE PRACTITIONER
  • Facility Type: Waiver
  • Lab Director: JENNIFER CASTANEDA
  • NPI Number: 1083198956
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2156582
LAB Type Other - NURSE PRACTITIONER
Facility Name CROSSROADS PEDIATRICS, PLLC
Street 3401 GREENBRIAR SUITE 400
City MIDLAND
State TX
ZIP 79707
Phone 432 699-2378
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2024
Certificate Expiration Date 10/21/2026
Facility Type Other - NURSE PRACTITIONER
Lab Director JENNIFER CASTANEDA

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