45D2180642 CLIA NUMBER - MY PEDIATRICIAN, PLLC

Laboratory Demographics

  • CLIA Code: 45D2180642
  • Facility Name: MY PEDIATRICIAN, PLLC
  • Facility Address: 412 VILLAGE DR SUITE 400
    MURPHY, TX
    ZIP 75094
  • Facility Phone: 972 325-2188
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KIRAN BILAL
  • NPI Number: 1659846715
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2180642
LAB Type Physician Office
Facility Name MY PEDIATRICIAN, PLLC
Street 412 VILLAGE DR SUITE 400
City MURPHY
State TX
ZIP 75094
Phone 972 325-2188
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2024
Certificate Expiration Date 3/17/2026
Facility Type Physician Office
Lab Director KIRAN BILAL

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