45D0962092 CLIA NUMBER - BAYLOR SURGICARE DBA BAYLOR SCOTT & WHITE SURGICARE DENTON

Laboratory Demographics

  • CLIA Code: 45D0962092
  • Facility Name: BAYLOR SURGICARE DBA BAYLOR SCOTT & WHITE SURGICARE DENTON
  • Facility Address: 350 SOUTH I-35 EAST
    DENTON, TX
    ZIP 76205
  • Facility Phone: 940 323-1393
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: LYNN A. MIKKELSEN
  • NPI Number: 1982607446
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D0962092
LAB Type Ambulatory Surgery Center
Facility Name BAYLOR SURGICARE DBA BAYLOR SCOTT & WHITE SURGICARE DENTON
Street 350 SOUTH I-35 EAST
City DENTON
State TX
ZIP 76205
Phone 940 323-1393
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/23/2025
Certificate Expiration Date 6/22/2027
Facility Type Ambulatory Surgery Center
Lab Director LYNN A. MIKKELSEN

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