45D0478946 CLIA NUMBER - BAYLOR SCOTT AND WHITE FAMILY MEDICINE UPTOWN

Laboratory Demographics

  • CLIA Code: 45D0478946
  • Facility Name: BAYLOR SCOTT AND WHITE FAMILY MEDICINE UPTOWN
  • Facility Address: 4161 MCKINNEY AVENUE, SUITE 300
    DALLAS, TX
    ZIP 75204
  • Facility Phone: 972 817-7040
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANITHA D. VEERASAMY
  • NPI Number: 1386647717
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 45D0478946
LAB Type Physician Office
Facility Name BAYLOR SCOTT AND WHITE FAMILY MEDICINE UPTOWN
Street 4161 MCKINNEY AVENUE, SUITE 300
City DALLAS
State TX
ZIP 75204
Phone 972 817-7040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type Physician Office
Lab Director ANITHA D. VEERASAMY

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This page was last updated on: 9/29/2025