45D2164594 CLIA NUMBER - EASTSIDE CHILDREN'S CLINIC

Laboratory Demographics

  • CLIA Code: 45D2164594
  • Facility Name: EASTSIDE CHILDREN'S CLINIC
  • Facility Address: 311 N ALLEN DR
    ALLEN, TX
    ZIP 75013
  • Facility Phone: 972 623-8218
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SONAL JAIN
  • NPI Number: 1881162287
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2164594
LAB Type Physician Office
Facility Name EASTSIDE CHILDREN'S CLINIC
Street 311 N ALLEN DR
City ALLEN
State TX
ZIP 75013
Phone 972 623-8218
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2025
Certificate Expiration Date 4/8/2027
Facility Type Physician Office
Lab Director SONAL JAIN

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