45D2165012 CLIA NUMBER - SUNNYSIDE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 45D2165012
  • Facility Name: SUNNYSIDE PEDIATRICS
  • Facility Address: 13310 LEOPARD STREET, SUITE 27
    CORPUS CHRISTI, TX
    ZIP 78410
  • Facility Phone: 361 242-3355
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JESSICA ACEVEDO-GRACIA
  • NPI Number: 1073289096
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2165012
LAB Type Physician Office
Facility Name SUNNYSIDE PEDIATRICS
Street 13310 LEOPARD STREET, SUITE 27
City CORPUS CHRISTI
State TX
ZIP 78410
Phone 361 242-3355
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2025
Certificate Expiration Date 4/16/2027
Facility Type Physician Office
Lab Director JESSICA ACEVEDO-GRACIA

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