45D1038941 CLIA NUMBER - UPTOWN PHYSICIANS GROUP

Laboratory Demographics

  • CLIA Code: 45D1038941
  • Facility Name: UPTOWN PHYSICIANS GROUP
  • Facility Address: 2801 LEMMON AVE SUITE 400
    DALLAS, TX
    ZIP 75204
  • Facility Phone: 214 303-1033
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: JOHN M. CARLO
  • NPI Number: 1477070928
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 45D1038941
LAB Type Federally Qualified Health Center
Facility Name UPTOWN PHYSICIANS GROUP
Street 2801 LEMMON AVE SUITE 400
City DALLAS
State TX
ZIP 75204
Phone 214 303-1033
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2025
Certificate Expiration Date 3/29/2027
Facility Type Federally Qualified Health Center
Lab Director JOHN M. CARLO

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