45D2264695 CLIA NUMBER - PRESTON HOLLOW PEDIATRICS, PLLC

Laboratory Demographics

  • CLIA Code: 45D2264695
  • Facility Name: PRESTON HOLLOW PEDIATRICS, PLLC
  • Facility Address: 7515 GREENVILLE AVE SUITE 610
    DALLAS, TX
    ZIP 75231
  • Facility Phone: 214 643-8286
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: COLLEN EDGE
  • NPI Number: 1679237614
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2264695
LAB Type Physician Office
Facility Name PRESTON HOLLOW PEDIATRICS, PLLC
Street 7515 GREENVILLE AVE SUITE 610
City DALLAS
State TX
ZIP 75231
Phone 214 643-8286
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2024
Certificate Expiration Date 7/18/2026
Facility Type Physician Office
Lab Director COLLEN EDGE

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