45D2219016 CLIA NUMBER - LONE STAR PEDIATRICS

Laboratory Demographics

  • CLIA Code: 45D2219016
  • Facility Name: LONE STAR PEDIATRICS
  • Facility Address: 177 N RIDGE RD
    MCKINNEY, TX
    ZIP 75071
  • Facility Phone: 469 591-1900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHANNON NORWOOD
  • NPI Number: 1073160297
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2219016
LAB Type Physician Office
Facility Name LONE STAR PEDIATRICS
Street 177 N RIDGE RD
City MCKINNEY
State TX
ZIP 75071
Phone 469 591-1900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Physician Office
Lab Director SHANNON NORWOOD

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