45D1034646 CLIA NUMBER - TEXAS ENDOSCOPY CENTERS, LLC DBA TEXAS ENDOSCOPY

Laboratory Demographics

  • CLIA Code: 45D1034646
  • Facility Name: TEXAS ENDOSCOPY CENTERS, LLC DBA TEXAS ENDOSCOPY
  • Facility Address: 8080 INDEPENDENCE PARKWAY SUITE 160
    PLANO, TX
    ZIP 75025
  • Facility Phone: 468 358-1010
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DAVID I. PARK
  • NPI Number: 1902218456
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1034646
LAB Type Ambulatory Surgery Center
Facility Name TEXAS ENDOSCOPY CENTERS, LLC DBA TEXAS ENDOSCOPY
Street 8080 INDEPENDENCE PARKWAY SUITE 160
City PLANO
State TX
ZIP 75025
Phone 468 358-1010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2024
Certificate Expiration Date 12/7/2026
Facility Type Ambulatory Surgery Center
Lab Director DAVID I. PARK

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