45D2252874 CLIA NUMBER - WELL ROOTED PEDIATRICS, PLLC

Laboratory Demographics

  • CLIA Code: 45D2252874
  • Facility Name: WELL ROOTED PEDIATRICS, PLLC
  • Facility Address: 2955 ELDORADO PARKWAY STE 120
    FRISCO, TX
    ZIP 75033
  • Facility Phone: 469 290-3208
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANNALISE M. CLAYBORNE
  • NPI Number: 1063164002
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2252874
LAB Type Physician Office
Facility Name WELL ROOTED PEDIATRICS, PLLC
Street 2955 ELDORADO PARKWAY STE 120
City FRISCO
State TX
ZIP 75033
Phone 469 290-3208
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/15/2024
Certificate Expiration Date 2/14/2026
Facility Type Physician Office
Lab Director ANNALISE M. CLAYBORNE

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