45D1039309 CLIA NUMBER - NORTH DALLAS EAR NOSE AND THROAT

Laboratory Demographics

  • CLIA Code: 45D1039309
  • Facility Name: NORTH DALLAS EAR NOSE AND THROAT
  • Facility Address: 2821 E PRESIDENT GEORGE BUSH HWY
    RICHARDSON, TX
    ZIP 75082
  • Facility Phone: 972 480-8877
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MORRIS B. GOTTLIEB
  • NPI Number: 1558719682
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 45D1039309
LAB Type Physician Office
Facility Name NORTH DALLAS EAR NOSE AND THROAT
Street 2821 E PRESIDENT GEORGE BUSH HWY
City RICHARDSON
State TX
ZIP 75082
Phone 972 480-8877
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type Physician Office
Lab Director MORRIS B. GOTTLIEB

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This page was last updated on: 3/20/2025