45D1002789 CLIA NUMBER - MICHELLE SUN MD

Laboratory Demographics

  • CLIA Code: 45D1002789
  • Facility Name: MICHELLE SUN MD
  • Facility Address: 3900 W 15TH STREET STE 404
    PLANO, TX
    ZIP 75075
  • Facility Phone: 972 596-1803
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHELLE SUN MD
  • NPI Number: 1003219494
  • Taxonomy: 363LA2100X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D1002789
LAB Type Physician Office
Facility Name MICHELLE SUN MD
Street 3900 W 15TH STREET STE 404
City PLANO
State TX
ZIP 75075
Phone 972 596-1803
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2024
Certificate Expiration Date 8/13/2026
Facility Type Physician Office
Lab Director MICHELLE SUN MD

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