45D2207031 CLIA NUMBER - PEDIATRICIANS OF NORTH TEXAS

Laboratory Demographics

  • CLIA Code: 45D2207031
  • Facility Name: PEDIATRICIANS OF NORTH TEXAS
  • Facility Address: 12200 PARK CENTRAL SUITE 405A
    DALLAS, TX
    ZIP 75251
  • Facility Phone: 972 341-9696
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JULIE LIN
  • NPI Number: 1740353598
  • Taxonomy: 2080P0202X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2207031
LAB Type Physician Office
Facility Name PEDIATRICIANS OF NORTH TEXAS
Street 12200 PARK CENTRAL SUITE 405A
City DALLAS
State TX
ZIP 75251
Phone 972 341-9696
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2024
Certificate Expiration Date 12/22/2026
Facility Type Physician Office
Lab Director JULIE LIN

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