45D1039463 CLIA NUMBER - BENT TREE FAMILY PHYSICIANS

Laboratory Demographics

  • CLIA Code: 45D1039463
  • Facility Name: BENT TREE FAMILY PHYSICIANS
  • Facility Address: 3550 PARKWOOD BLVD BUILDING F SUITE 600
    FRISCO, TX
    ZIP 75034
  • Facility Phone: 972 377-8800
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: AMY LATTA
  • NPI Number: 1811059819
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1039463
LAB Type Physician Office
Facility Name BENT TREE FAMILY PHYSICIANS
Street 3550 PARKWOOD BLVD BUILDING F SUITE 600
City FRISCO
State TX
ZIP 75034
Phone 972 377-8800
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/15/2023
Certificate Expiration Date 12/14/2025
Facility Type Physician Office
Lab Director AMY LATTA

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