45D1022642 CLIA NUMBER - MIRANDA O RAMIREZ MD PA

Laboratory Demographics

  • CLIA Code: 45D1022642
  • Facility Name: MIRANDA O RAMIREZ MD PA
  • Facility Address: 3608 PRESTON ROAD SUITE 125
    PLANO, TX
    ZIP 75093
  • Facility Phone: 972 312-0440
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MIRANDA O. RAMIREZ
  • NPI Number: 1992961866
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 45D1022642
LAB Type Physician Office
Facility Name MIRANDA O RAMIREZ MD PA
Street 3608 PRESTON ROAD SUITE 125
City PLANO
State TX
ZIP 75093
Phone 972 312-0440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2024
Certificate Expiration Date 2/22/2026
Facility Type Physician Office
Lab Director MIRANDA O. RAMIREZ

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