45D0877034 CLIA NUMBER - HEALTH TEXAS PROVIDER NETWORK LABORATORY

Laboratory Demographics

  • CLIA Code: 45D0877034
  • Facility Name: HEALTH TEXAS PROVIDER NETWORK LABORATORY
  • Facility Address: 3417 GASTON AVENUE, SUITE 630
    DALLAS, TX
    ZIP 75246
  • Facility Phone: 469 800-8900
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. ROBYN M. OLNEY
  • NPI Number: 1962153940
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0877034
LAB Type Physician Office
Facility Name HEALTH TEXAS PROVIDER NETWORK LABORATORY
Street 3417 GASTON AVENUE, SUITE 630
City DALLAS
State TX
ZIP 75246
Phone 469 800-8900
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/13/2024
Certificate Expiration Date 6/12/2026
Facility Type Physician Office
Lab Director DR. ROBYN M. OLNEY

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