45D0682187 CLIA NUMBER - TEXAS DIGESTIVE DISEASE CONSULTANTS

Laboratory Demographics

  • CLIA Code: 45D0682187
  • Facility Name: TEXAS DIGESTIVE DISEASE CONSULTANTS
  • Facility Address: 701 TUSCAN DRIVE # 110
    IRVING, TX
    ZIP 75039
  • Facility Phone: 214 494-1100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALLEN W. RUBIN
  • NPI Number: 1053397331
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0682187
LAB Type Physician Office
Facility Name TEXAS DIGESTIVE DISEASE CONSULTANTS
Street 701 TUSCAN DRIVE # 110
City IRVING
State TX
ZIP 75039
Phone 214 494-1100
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 ALLEN W. RUBIN

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