45D2244985 CLIA NUMBER - CHARLIE ANN MOREHEAD MD PLLC DBA COUNTRY KIDS PEDIATRICS

Laboratory Demographics

  • CLIA Code: 45D2244985
  • Facility Name: CHARLIE ANN MOREHEAD MD PLLC DBA COUNTRY KIDS PEDIATRICS
  • Facility Address: 1815 10TH STREET
    FLORESVILLE, TX
    ZIP 78114
  • Facility Phone: 830 251-0860
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHARLIE ANN MOREHEAD
  • NPI Number: 1275203820
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2244985
LAB Type Physician Office
Facility Name CHARLIE ANN MOREHEAD MD PLLC DBA COUNTRY KIDS PEDIATRICS
Street 1815 10TH STREET
City FLORESVILLE
State TX
ZIP 78114
Phone 830 251-0860
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2023
Certificate Expiration Date 12/7/2025
Facility Type Physician Office
Lab Director CHARLIE ANN MOREHEAD

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