45D2214712 CLIA NUMBER - PREMIER PLUS PEDIATRICS, PLLC

Laboratory Demographics

  • CLIA Code: 45D2214712
  • Facility Name: PREMIER PLUS PEDIATRICS, PLLC
  • Facility Address: 1414 E WALNUT
    SEGUIN, TX
    ZIP 78155
  • Facility Phone: 830 491-5019
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ISMAELA P. GOMEZ
  • NPI Number: 1093310344
  • Taxonomy: 363LP0200X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2214712
LAB Type Physician Office
Facility Name PREMIER PLUS PEDIATRICS, PLLC
Street 1414 E WALNUT
City SEGUIN
State TX
ZIP 78155
Phone 830 491-5019
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2025
Certificate Expiration Date 2/23/2027
Facility Type Physician Office
Lab Director ISMAELA P. GOMEZ

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