45D2184368 CLIA NUMBER - MOHROKH A HEDAYATI DBA NORTH PEDIATRICS

Laboratory Demographics

  • CLIA Code: 45D2184368
  • Facility Name: MOHROKH A HEDAYATI DBA NORTH PEDIATRICS
  • Facility Address: 890 ROCKWALL PKWY SUITE 100
    ROCKWALL, TX
    ZIP 75032
  • Facility Phone: 214 306-4456
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MOHROKH A. HEDAYATI
  • NPI Number: 1760574339
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2184368
LAB Type Physician Office
Facility Name MOHROKH A HEDAYATI DBA NORTH PEDIATRICS
Street 890 ROCKWALL PKWY SUITE 100
City ROCKWALL
State TX
ZIP 75032
Phone 214 306-4456
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2024
Certificate Expiration Date 5/18/2026
Facility Type Physician Office
Lab Director MOHROKH A. HEDAYATI

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