45D2274153 CLIA NUMBER - LAKE PFLUGERVILLE PEDIATRIC HOUSE CALLS, LLC

Laboratory Demographics

  • CLIA Code: 45D2274153
  • Facility Name: LAKE PFLUGERVILLE PEDIATRIC HOUSE CALLS, LLC
  • Facility Address: 900 E. PECAN ST. STE 300-179
    PFLUGERVILLE, TX
    ZIP 78660
  • Facility Phone: 512 673-7661
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRANDI LEAN TORRES
  • NPI Number: 1306520796
  • Taxonomy: 343800000X - Secured Medical Transport (VAN)

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CLIA Record

Field Name Field Value
CLIA Number 45D2274153
LAB Type Physician Office
Facility Name LAKE PFLUGERVILLE PEDIATRIC HOUSE CALLS, LLC
Street 900 E. PECAN ST. STE 300-179
City PFLUGERVILLE
State TX
ZIP 78660
Phone 512 673-7661
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2024
Certificate Expiration Date 12/26/2026
Facility Type Physician Office
Lab Director BRANDI LEAN TORRES

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This page was last updated on: 6/4/2025