45D0943109 CLIA NUMBER - TEXAS DIGESTIVE DISEASE CONSULTANTS PA

Laboratory Demographics

  • CLIA Code: 45D0943109
  • Facility Name: TEXAS DIGESTIVE DISEASE CONSULTANTS PA
  • Facility Address: 505 S NOLEN DRIVE, SUITE A
    SOUTHLAKE, TX
    ZIP 76092
  • Facility Phone: 817 424-1525
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES J. WEBER
  • NPI Number: 1649256546
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0943109
LAB Type Physician Office
Facility Name TEXAS DIGESTIVE DISEASE CONSULTANTS PA
Street 505 S NOLEN DRIVE, SUITE A
City SOUTHLAKE
State TX
ZIP 76092
Phone 817 424-1525
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2024
Certificate Expiration Date 3/22/2026
Facility Type Physician Office
Lab Director JAMES J. WEBER

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