45D2159391 CLIA NUMBER - TEXAS CHILDRENS PEDIATRICS BEANSPROUT DRIPPING SPRINGS

Laboratory Demographics

  • CLIA Code: 45D2159391
  • Facility Name: TEXAS CHILDRENS PEDIATRICS BEANSPROUT DRIPPING SPRINGS
  • Facility Address: 2440 E. HIGHWAY 290, BLDG. C, STE A ATTN CLIA LAB DIRECTOR
    DRIPPING SPRINGS, TX
    ZIP 78620
  • Facility Phone: 512 610-7030
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIELLE GRANT
  • NPI Number: 1174841456
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2159391
LAB Type Physician Office
Facility Name TEXAS CHILDRENS PEDIATRICS BEANSPROUT DRIPPING SPRINGS
Street 2440 E. HIGHWAY 290, BLDG. C, STE A ATTN CLIA LAB DIRECTOR
City DRIPPING SPRINGS
State TX
ZIP 78620
Phone 512 610-7030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2024
Certificate Expiration Date 12/17/2026
Facility Type Physician Office
Lab Director DANIELLE GRANT

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