45D2256915 CLIA NUMBER - PLUM LLC DBA PLUM PEDIATRICS

Laboratory Demographics

  • CLIA Code: 45D2256915
  • Facility Name: PLUM LLC DBA PLUM PEDIATRICS
  • Facility Address: 807 TRADEWINDS BLVD.
    MIDLAND, TX
    ZIP 79706
  • Facility Phone: 432 288-8482
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMANDA J. HUGHES
  • NPI Number: 1114675253
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2256915
LAB Type Physician Office
Facility Name PLUM LLC DBA PLUM PEDIATRICS
Street 807 TRADEWINDS BLVD.
City MIDLAND
State TX
ZIP 79706
Phone 432 288-8482
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2024
Certificate Expiration Date 3/28/2026
Facility Type Physician Office
Lab Director AMANDA J. HUGHES

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