45D1036207 CLIA NUMBER - DENTON OB/GYN, PA

Laboratory Demographics

  • CLIA Code: 45D1036207
  • Facility Name: DENTON OB/GYN, PA
  • Facility Address: 3337 COLORADO BLVD SUITE 100
    DENTON, TX
    ZIP 76210
  • Facility Phone: 940 320-2745
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: INDRANI N. REDDY
  • NPI Number: 1235309964
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1036207
LAB Type Physician Office
Facility Name DENTON OB/GYN, PA
Street 3337 COLORADO BLVD SUITE 100
City DENTON
State TX
ZIP 76210
Phone 940 320-2745
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2025
Certificate Expiration Date 1/23/2027
Facility Type Physician Office
Lab Director INDRANI N. REDDY

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