45D0965809 CLIA NUMBER - ANNE COLEMAN MD PA

Laboratory Demographics

  • CLIA Code: 45D0965809
  • Facility Name: ANNE COLEMAN MD PA
  • Facility Address: 375 MUNICIPAL DRIVE SUITE 128
    RICHARDSON, TX
    ZIP 75080
  • Facility Phone: 972 669-4111
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANNE G. COLEMAN MD
  • NPI Number: 1114938826
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0965809
LAB Type Physician Office
Facility Name ANNE COLEMAN MD PA
Street 375 MUNICIPAL DRIVE SUITE 128
City RICHARDSON
State TX
ZIP 75080
Phone 972 669-4111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2025
Certificate Expiration Date 9/28/2027
Facility Type Physician Office
Lab Director ANNE G. COLEMAN MD

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