45D0879255 CLIA NUMBER - LUAN Q PHO MD PA

Laboratory Demographics

  • CLIA Code: 45D0879255
  • Facility Name: LUAN Q PHO MD PA
  • Facility Address: 1105 NORTH CENTRAL EXPRESSWAY SUITE 260
    ALLEN, TX
    ZIP 75013
  • Facility Phone: 972 747-4700
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: LUAN Q. PHO MD
  • NPI Number: 1821080995
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D0879255
LAB Type Community Clinic
Facility Name LUAN Q PHO MD PA
Street 1105 NORTH CENTRAL EXPRESSWAY SUITE 260
City ALLEN
State TX
ZIP 75013
Phone 972 747-4700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2023
Certificate Expiration Date 11/14/2025
Facility Type Community Clinic
Lab Director LUAN Q. PHO MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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