45D0703969 CLIA NUMBER - CONRAD A SPEECE DO

Laboratory Demographics

  • CLIA Code: 45D0703969
  • Facility Name: CONRAD A SPEECE DO
  • Facility Address: 1910 LAPRADA DRIVE
    MESQUITE, TX
    ZIP 75150
  • Facility Phone: 214 321-2673
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MONA L. ST CLAIR
  • NPI Number: 1225066889
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0703969
LAB Type Physician Office
Facility Name CONRAD A SPEECE DO
Street 1910 LAPRADA DRIVE
City MESQUITE
State TX
ZIP 75150
Phone 214 321-2673
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director MONA L. ST CLAIR

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