45D1019988 CLIA NUMBER - STONEBROOK FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 45D1019988
  • Facility Name: STONEBROOK FAMILY PRACTICE
  • Facility Address: 8200 STONEBROOK PKWY #100
    FRISCO, TX
    ZIP 75034
  • Facility Phone: (972) 712-1911
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MONA CHACKO
  • NPI Number: 1154589612
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1019988
LAB Type Physician Office
Facility Name STONEBROOK FAMILY PRACTICE
Street 8200 STONEBROOK PKWY #100
City FRISCO
State TX
ZIP 75034
Phone 9727121911
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 12/5/2025
Certificate Expiration Date 12/4/2027
Facility Type Physician Office
Lab Director MONA CHACKO

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This page was last updated on: 5/18/2026