45D1001256 CLIA NUMBER - ENDOCRINE & THYROID CENTER

Laboratory Demographics

  • CLIA Code: 45D1001256
  • Facility Name: ENDOCRINE & THYROID CENTER
  • Facility Address: 7141 COLLEYVILLE BLVD
    COLLEYVILLE, TX
    ZIP 76034
  • Facility Phone: 817 410-9993
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: HENRY M. PROST
  • NPI Number: 1659300549
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1001256
LAB Type Physician Office
Facility Name ENDOCRINE & THYROID CENTER
Street 7141 COLLEYVILLE BLVD
City COLLEYVILLE
State TX
ZIP 76034
Phone 817 410-9993
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/5/2024
Certificate Expiration Date 7/4/2026
Facility Type Physician Office
Lab Director HENRY M. PROST

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