45D2173288 CLIA NUMBER - TONYA P MCDONALD, MD, PLLC DBA RADIANCE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 45D2173288
  • Facility Name: TONYA P MCDONALD, MD, PLLC DBA RADIANCE PEDIATRICS
  • Facility Address: 3662 W CAMP WISDOM RD SUITE 2044
    DALLAS, TX
    ZIP 75237
  • Facility Phone: 469 431-2627
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TONYA P. MCDONALD
  • NPI Number: 1376509745
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2173288
LAB Type Physician Office
Facility Name TONYA P MCDONALD, MD, PLLC DBA RADIANCE PEDIATRICS
Street 3662 W CAMP WISDOM RD SUITE 2044
City DALLAS
State TX
ZIP 75237
Phone 469 431-2627
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2023
Certificate Expiration Date 10/8/2025
Facility Type Physician Office
Lab Director TONYA P. MCDONALD

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