45D0711996 CLIA NUMBER - PLANO OB GYN ASSOCIATES

Laboratory Demographics

  • CLIA Code: 45D0711996
  • Facility Name: PLANO OB GYN ASSOCIATES
  • Facility Address: 3108 MIDWAY ROAD,SUITE 200
    PLANO, TX
    ZIP 75093
  • Facility Phone: 972 781-1515
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KYLE MATHEWS
  • NPI Number: 1154499051
  • Taxonomy: 207VF0040X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 45D0711996
LAB Type Physician Office
Facility Name PLANO OB GYN ASSOCIATES
Street 3108 MIDWAY ROAD,SUITE 200
City PLANO
State TX
ZIP 75093
Phone 972 781-1515
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 8/31/2024
Certificate Expiration Date 8/30/2026
Facility Type Physician Office
Lab Director KYLE MATHEWS

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