45D2176359 CLIA NUMBER - BANKS PEDIATRICS PLLC

Laboratory Demographics

  • CLIA Code: 45D2176359
  • Facility Name: BANKS PEDIATRICS PLLC
  • Facility Address: 726 S. JEFFERSON ST
    LA GRANGE, TX
    ZIP 78945
  • Facility Phone: 979 206-2005
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CRYSTAL L. BANKS
  • NPI Number: 1144722984
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2176359
LAB Type Physician Office
Facility Name BANKS PEDIATRICS PLLC
Street 726 S. JEFFERSON ST
City LA GRANGE
State TX
ZIP 78945
Phone 979 206-2005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2023
Certificate Expiration Date 12/11/2025
Facility Type Physician Office
Lab Director CRYSTAL L. BANKS

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