45D2325808 CLIA NUMBER - VIVA PPECC II, LLC DBA VIVA PEDIATRIC HEALTHCARE COLONY

Laboratory Demographics

  • CLIA Code: 45D2325808
  • Facility Name: VIVA PPECC II, LLC DBA VIVA PEDIATRIC HEALTHCARE COLONY
  • Facility Address: 5701 STATE HWY 121 SUITE 190
    THE COLONY, TX
    ZIP 75056
  • Facility Phone: 469 341-7772
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KATY DOUGHERTY
  • NPI Number: 1972480762
  • Taxonomy: 261QM3000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2325808
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name VIVA PPECC II, LLC DBA VIVA PEDIATRIC HEALTHCARE COLONY
Street 5701 STATE HWY 121 SUITE 190
City THE COLONY
State TX
ZIP 75056
Phone 469 341-7772
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2025
Certificate Expiration Date 6/19/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director KATY DOUGHERTY

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