45D0481754 CLIA NUMBER - BENT TREE FAMILY PHYSICIANS

Laboratory Demographics

  • CLIA Code: 45D0481754
  • Facility Name: BENT TREE FAMILY PHYSICIANS
  • Facility Address: 17110 DALLAS PARKWAY SUITE 100
    DALLAS, TX
    ZIP 75248
  • Facility Phone: 972 377-8800
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ALMA GARZA
  • NPI Number: 1225505928
  • Taxonomy: 103T00000X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 45D0481754
LAB Type Physician Office
Facility Name BENT TREE FAMILY PHYSICIANS
Street 17110 DALLAS PARKWAY SUITE 100
City DALLAS
State TX
ZIP 75248
Phone 972 377-8800
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/21/2025
Certificate Expiration Date 3/20/2027
Facility Type Physician Office
Lab Director ALMA GARZA

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