CLIA lab

CLIA 45D2269631: Blue Sky Pediatrics

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

CLIA number 45D2269631 belongs to Blue Sky Pediatrics in Coppell, TX.

Certificate of Waiver, effective September 29, 2026, expires September 28, 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
September 29, 2026
Certificate expiration
September 28, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 29, 2022
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
45D2269631
Lab name
Blue Sky Pediatrics
Address
878 S. Denton Tap Rd Suite 250, Coppell, TX 75019
Phone
(972) 636-4016
Fax
(972) 737-1069

Annual test volume the lab reported

Waived tests
5,000

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 Blue Sky Pediatrics in Coppell?

45D2269631, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Blue Sky Pediatrics hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 45D2269631 expire?

The CMS file lists September 28, 2028 as the certificate expiration date; the certificate took effect September 29, 2026.

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