45D2206557 CLIA NUMBER - ARBOR PEDIATRICS

Laboratory Demographics

  • CLIA Code: 45D2206557
  • Facility Name: ARBOR PEDIATRICS
  • Facility Address: 1130 N KIMBALL AVE SUITE 100
    SOUTHLAKE, TX
    ZIP 76092
  • Facility Phone: 817 685-3564
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MELISSA D. ASGAONKAR
  • NPI Number: 1518508894
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2206557
LAB Type Physician Office
Facility Name ARBOR PEDIATRICS
Street 1130 N KIMBALL AVE SUITE 100
City SOUTHLAKE
State TX
ZIP 76092
Phone 817 685-3564
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Physician Office
Lab Director MELISSA D. ASGAONKAR

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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