45D1032670 CLIA NUMBER - ADVANCED FACIAL PLASTIC SURGERY CENTER

Laboratory Demographics

CLIA Number: 45D1032670

Facility Name: ADVANCED FACIAL PLASTIC SURGERY CENTER

Facility Address:
14755 PRESTON RD, SUITE 110
DALLAS, TX
ZIP 75254
Get Directions

Facility Phone Number: 972 774-1777

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1710231642

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D1032670
LAB Type	Physician Office
Facility Name	ADVANCED FACIAL PLASTIC SURGERY CENTER
Street	14755 PRESTON RD, SUITE 110
City	DALLAS
State	TX
ZIP	75254
Phone	972 774-1777
CertificateType	4
CertificateEffectiveDate	10/27/2022
CertificateExpirationDate	10/26/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024