45D1027947 CLIA NUMBER - CONNIE CASAD, MD

Laboratory Demographics

  • CLIA Code: 45D1027947
  • Facility Name: CONNIE CASAD, MD
  • Facility Address: 12200 PARK CENTRAL DRIVE SUITE 200
    DALLAS, TX
    ZIP 75251
  • Facility Phone: 972 566-7744
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STACEY ATCHISON
  • NPI Number: 1376544296
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 45D1027947
LAB Type Physician Office
Facility Name CONNIE CASAD, MD
Street 12200 PARK CENTRAL DRIVE SUITE 200
City DALLAS
State TX
ZIP 75251
Phone 972 566-7744
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2024
Certificate Expiration Date 7/15/2026
Facility Type Physician Office
Lab Director STACEY ATCHISON

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