CLIA lab

CLIA 45D2104921: Amarillo Pediatric Clinic, PLLC

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

CLIA number 45D2104921 belongs to Amarillo Pediatric Clinic, PLLC in Amarillo, TX.

Certificate of Waiver, effective November 16, 2025, expires November 15, 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

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
November 16, 2025
Certificate expiration
November 15, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
November 16, 2015
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
45D2104921
Lab name
Amarillo Pediatric Clinic, PLLC
Address
1901 Medi-Park Drive, Suite 65, Amarillo, TX 79106
Phone
(806) 468-4333
Fax
(806) 468-4334

Annual test volume the lab reported

Waived tests
1,000

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 Amarillo Pediatric Clinic, PLLC in Amarillo?

45D2104921, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Amarillo Pediatric Clinic, PLLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 45D2104921 expire?

The CMS file lists November 15, 2027 as the certificate expiration date; the certificate took effect November 16, 2025.

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