45D1020400 CLIA NUMBER - EXCEL FAMILY MEDICAL AND PEDIATRIC CLINIC

Laboratory Demographics

  • CLIA Code: 45D1020400
  • Facility Name: EXCEL FAMILY MEDICAL AND PEDIATRIC CLINIC
  • Facility Address: 316 W BELTLINE RD SUITE 100
    CEDAR HILL, TX
    ZIP 75104
  • Facility Phone: 469 206-2630
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DENNIS O. OCHEI
  • NPI Number: 1336485838
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1020400
LAB Type Physician Office
Facility Name EXCEL FAMILY MEDICAL AND PEDIATRIC CLINIC
Street 316 W BELTLINE RD SUITE 100
City CEDAR HILL
State TX
ZIP 75104
Phone 469 206-2630
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 5/11/2024
Certificate Expiration Date 5/10/2026
Facility Type Physician Office
Lab Director DENNIS O. OCHEI

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This page was last updated on: 3/20/2025