45D1037704 CLIA NUMBER - CENTENNIAL ASC, LLC

Laboratory Demographics

  • CLIA Code: 45D1037704
  • Facility Name: CENTENNIAL ASC, LLC
  • Facility Address: 4401 COIT ROAD, SUITE 100
    FRISCO, TX
    ZIP 75034
  • Facility Phone: (214) 619-0120
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RANDY ROBBINS
  • NPI Number: 1639146541
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1037704
LAB Type Ambulatory Surgery Center
Facility Name CENTENNIAL ASC, LLC
Street 4401 COIT ROAD, SUITE 100
City FRISCO
State TX
ZIP 75034
Phone 2146190120
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2025
Certificate Expiration Date 3/1/2027
Facility Type Ambulatory Surgery Center
Lab Director RANDY ROBBINS

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This page was last updated on: 5/18/2026