CLIA lab

CLIA 45D1036103: Center for Pediatric Surgery

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

CLIA number 45D1036103 belongs to Center for Pediatric Surgery in Prosper, TX.

Certificate of Waiver, effective July 1, 2025, expires June 30, 2027.

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

Run it in Rivvi

Map your lab's test names to LOINC codes

Open in Rivvi

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Certificate

Certificate type
Certificate of Waiver
Certificate effective
July 1, 2025
Certificate expiration
June 30, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 20, 2005
Facility type
Ambulatory surgery center
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
45D1036103
Lab name
Center for Pediatric Surgery
Additional name
DBA Cooks Childrens Pediatric Surgery
Address
4200 W University Drive Suite 110, Prosper, TX 75078
Phone
(972) 300-0215
Fax
(972) 300-0220

Annual test volume the lab reported

Waived tests
750

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Prosper, TX

Related

Questions

What is the CLIA number for Center for Pediatric Surgery in Prosper?

45D1036103, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Center for Pediatric Surgery hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 45D1036103 expire?

The CMS file lists June 30, 2027 as the certificate expiration date; the certificate took effect July 1, 2025.

Try it on your own data today.

Free to start. Most teams are using it the same day.