45D0931811 CLIA NUMBER - RAFAEL CANADAS MD

Laboratory Demographics

  • CLIA Code: 45D0931811
  • Facility Name: RAFAEL CANADAS MD
  • Facility Address: 12201 MERIT DRIVE SUITE 180
    DALLAS, TX
    ZIP 75251
  • Facility Phone: 972 385-9700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAFAEL CANADAS MD
  • NPI Number: 1801897616
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0931811
LAB Type Physician Office
Facility Name RAFAEL CANADAS MD
Street 12201 MERIT DRIVE SUITE 180
City DALLAS
State TX
ZIP 75251
Phone 972 385-9700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2025
Certificate Expiration Date 9/4/2027
Facility Type Physician Office
Lab Director RAFAEL CANADAS MD

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