45D1013244 CLIA NUMBER - BRYAN G JOHNSON MD PA

Laboratory Demographics

  • CLIA Code: 45D1013244
  • Facility Name: BRYAN G JOHNSON MD PA
  • Facility Address: 6842 MAIN STREET SUITE 203
    FRISCO, TX
    ZIP 75034
  • Facility Phone: 469 633-9300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRYAN G. JOHNSON
  • NPI Number: 1154340925
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1013244
LAB Type Physician Office
Facility Name BRYAN G JOHNSON MD PA
Street 6842 MAIN STREET SUITE 203
City FRISCO
State TX
ZIP 75034
Phone 469 633-9300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type Physician Office
Lab Director BRYAN G. JOHNSON

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