45D1041525 CLIA NUMBER - DALLAS ENDOSCOPY CENTER, LTD

Laboratory Demographics

  • CLIA Code: 45D1041525
  • Facility Name: DALLAS ENDOSCOPY CENTER, LTD
  • Facility Address: 3930 CRUTCHER ST
    DALLAS, TX
    ZIP 75246
  • Facility Phone: 214 520-8235
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ROBERTO RODRIGUEZ-RUESGA
  • NPI Number: 1518943679
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1041525
LAB Type Ambulatory Surgery Center
Facility Name DALLAS ENDOSCOPY CENTER, LTD
Street 3930 CRUTCHER ST
City DALLAS
State TX
ZIP 75246
Phone 214 520-8235
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2025
Certificate Expiration Date 6/5/2027
Facility Type Ambulatory Surgery Center
Lab Director ROBERTO RODRIGUEZ-RUESGA

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