45D0967674 CLIA NUMBER - ALAN J YEDWAB MD

Laboratory Demographics

  • CLIA Code: 45D0967674
  • Facility Name: ALAN J YEDWAB MD
  • Facility Address: 2821 EAST BUSH HIGHWAY SUITE 308
    RICHARDSON, TX
    ZIP 75082
  • Facility Phone: 214 320-1661
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALAN J. YEDWAB MD
  • NPI Number: 1992740773
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D0967674
LAB Type Physician Office
Facility Name ALAN J YEDWAB MD
Street 2821 EAST BUSH HIGHWAY SUITE 308
City RICHARDSON
State TX
ZIP 75082
Phone 214 320-1661
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2024
Certificate Expiration Date 2/21/2026
Facility Type Physician Office
Lab Director ALAN J. YEDWAB MD

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