45D2207740 CLIA NUMBER - DRAGONFLY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 45D2207740
  • Facility Name: DRAGONFLY PEDIATRICS
  • Facility Address: 2300 W MICHIGAN
    MIDLAND, TX
    ZIP 79701
  • Facility Phone: 432 704-1058
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JULIE MARTIN
  • NPI Number: 1922604644
  • Taxonomy: 363LP0200X - Nurse Practitioner

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2207740
LAB Type Physician Office
Facility Name DRAGONFLY PEDIATRICS
Street 2300 W MICHIGAN
City MIDLAND
State TX
ZIP 79701
Phone 432 704-1058
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2024
Certificate Expiration Date 12/29/2026
Facility Type Physician Office
Lab Director JULIE MARTIN

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