45D2311448 CLIA NUMBER - SOUTHERN CHARM PEDIATRICS

Laboratory Demographics

  • CLIA Code: 45D2311448
  • Facility Name: SOUTHERN CHARM PEDIATRICS
  • Facility Address: 105 N ALMA DR SUITE 300
    ALLEN, TX
    ZIP 75013
  • Facility Phone: (972) 720-3333
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SABRINA DORRIS
  • NPI Number: 1528899598
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2311448
LAB Type Physician Office
Facility Name SOUTHERN CHARM PEDIATRICS
Street 105 N ALMA DR SUITE 300
City ALLEN
State TX
ZIP 75013
Phone 9727203333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Physician Office
Lab Director SABRINA DORRIS

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This page was last updated on: 5/18/2026