45D2170753 CLIA NUMBER - MARIPOSA PERINATAL SERVICES PLLC

Laboratory Demographics

  • CLIA Code: 45D2170753
  • Facility Name: MARIPOSA PERINATAL SERVICES PLLC
  • Facility Address: 1510 W HIGHWAY 287 BUSINESS, STE 100
    WAXAHACHIE, TX
    ZIP 75165
  • Facility Phone: 972 905-3778
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MLADEN PREDANIC
  • NPI Number: 1619433034
  • Taxonomy: 207VM0101X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 45D2170753
LAB Type Physician Office
Facility Name MARIPOSA PERINATAL SERVICES PLLC
Street 1510 W HIGHWAY 287 BUSINESS, STE 100
City WAXAHACHIE
State TX
ZIP 75165
Phone 972 905-3778
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2025
Certificate Expiration Date 8/18/2027
Facility Type Physician Office
Lab Director MLADEN PREDANIC

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