CLIA lab
CLIA 45D0712549: Practical Pediatrics
Grapevine, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D0712549 belongs to Practical Pediatrics in Grapevine, TX.
Certificate of Waiver, effective September 25, 2024, expiration date September 24, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- September 25, 2024
- Certificate expiration
- September 24, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 45D0712549
- Lab name
- Practical Pediatrics
- Address
- 811 Ira E Woods, Grapevine, TX 76051
- Phone
- (817) 481-3585
- Fax
- (817) 421-6529
Annual test volume the lab reported
- Waived tests
- 2,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Practical Pediatrics in Grapevine?
45D0712549, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Practical Pediatrics hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D0712549 expire?
The CMS file lists September 24, 2026 as the certificate expiration date; the certificate took effect September 25, 2024.