45D0669791 CLIA NUMBER - LEWISVILLE DIAGNOSTIC CENTER

Laboratory Demographics

  • CLIA Code: 45D0669791
  • Facility Name: LEWISVILLE DIAGNOSTIC CENTER
  • Facility Address: 125 N COWAN STE 102
    LEWISVILLE, TX
    ZIP 75057
  • Facility Phone: 972 221-0600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EMMANUEL F. DESAI
  • NPI Number: 1306920509
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0669791
LAB Type Physician Office
Facility Name LEWISVILLE DIAGNOSTIC CENTER
Street 125 N COWAN STE 102
City LEWISVILLE
State TX
ZIP 75057
Phone 972 221-0600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director EMMANUEL F. DESAI

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