45D2294974 CLIA NUMBER - JUNIPER PEDIATRICS

Laboratory Demographics

  • CLIA Code: 45D2294974
  • Facility Name: JUNIPER PEDIATRICS
  • Facility Address: 2631 GATTIS SCHOOL ROAD, SUITE 160
    ROUND ROCK, TX
    ZIP 78664
  • Facility Phone: 512 750-4265
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. HANA ZIBDEH-LOUGH
  • NPI Number: 1578255709
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2294974
LAB Type Physician Office
Facility Name JUNIPER PEDIATRICS
Street 2631 GATTIS SCHOOL ROAD, SUITE 160
City ROUND ROCK
State TX
ZIP 78664
Phone 512 750-4265
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2023
Certificate Expiration Date 12/3/2025
Facility Type Physician Office
Lab Director DR. HANA ZIBDEH-LOUGH

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