45D1000579 CLIA NUMBER - STUDENT HEALTH SERVICES UNIV OF DALLAS

Laboratory Demographics

CLIA Number: 45D1000579

Facility Name: STUDENT HEALTH SERVICES UNIV OF DALLAS

Facility Address:
1845 E NORTHGATE DR
IRVING, TX
ZIP 75062
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Facility Phone Number: 972 721-5322

Facility Type: School/Student Health Service

Certificate Type: Microscopy

NPI Number: 1255615258

Taxonomy: 261QS1000X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D1000579
LAB Type	School/Student Health Service
Facility Name	STUDENT HEALTH SERVICES UNIV OF DALLAS
Street	1845 E NORTHGATE DR
City	IRVING
State	TX
ZIP	75062
Phone	972 721-5322
CertificateType	3
CertificateEffectiveDate	7/2/2022
CertificateExpirationDate	7/1/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024