CLIA lab

CLIA 45D0887104: Lake Lewisville Pediatrics

Lewisville, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 45D0887104 belongs to Lake Lewisville Pediatrics in Lewisville, TX.

Certificate of Waiver, effective July 18, 2026, expires July 17, 2028.

Active in the CMS Provider of Services file posted October 16, 2026.

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
July 18, 2026
Certificate expiration
July 17, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 4, 1994
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
45D0887104
Lab name
Lake Lewisville Pediatrics
Address
2141 Edmonds Lane, Lewisville, TX 75067
Phone
(972) 315-8500

Other labs in Lewisville, TX

Related

Questions

What is the CLIA number for Lake Lewisville Pediatrics in Lewisville?

45D0887104, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Lake Lewisville Pediatrics hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 45D0887104 expire?

The CMS file lists July 17, 2028 as the certificate expiration date; the certificate took effect July 18, 2026.

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