45D2195534 CLIA NUMBER - PLUM PEDIATRICS, PLLC

Laboratory Demographics

  • CLIA Code: 45D2195534
  • Facility Name: PLUM PEDIATRICS, PLLC
  • Facility Address: 270 S COLLINS RD SUITE 300
    SUNNYVALE, TX
    ZIP 75182
  • Facility Phone: 469 864-7586
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROSHNI PATEL
  • NPI Number: 1740807445
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2195534
LAB Type Physician Office
Facility Name PLUM PEDIATRICS, PLLC
Street 270 S COLLINS RD SUITE 300
City SUNNYVALE
State TX
ZIP 75182
Phone 469 864-7586
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2024
Certificate Expiration Date 10/8/2026
Facility Type Physician Office
Lab Director ROSHNI PATEL

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