45D2279016 CLIA NUMBER - LIGHTHOUSE PEDIATRICS, PLLC

Laboratory Demographics

  • CLIA Code: 45D2279016
  • Facility Name: LIGHTHOUSE PEDIATRICS, PLLC
  • Facility Address: 100 WEST STATE HWY 6 SUITE 500
    WOODWAY, TX
    ZIP 76712
  • Facility Phone: 254 327-1800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM NESMITH
  • NPI Number: 1144915083
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2279016
LAB Type Physician Office
Facility Name LIGHTHOUSE PEDIATRICS, PLLC
Street 100 WEST STATE HWY 6 SUITE 500
City WOODWAY
State TX
ZIP 76712
Phone 254 327-1800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2025
Certificate Expiration Date 3/27/2027
Facility Type Physician Office
Lab Director WILLIAM NESMITH

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