45D1044933 CLIA NUMBER - METHODIST - CDI DBA RAYUS RADIOLOGY

Laboratory Demographics

  • CLIA Code: 45D1044933
  • Facility Name: METHODIST - CDI DBA RAYUS RADIOLOGY
  • Facility Address: 1750 N HAMPTON ROAD
    DESOTO, TX
    ZIP 75115
  • Facility Phone: 214 420-5400
  • Facility Type: Other - OUTPAITIENT IMAGING
  • Facility Type: Waiver
  • Lab Director: CAROLYN J. VANDIVER
  • NPI Number: 1043878069
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D1044933
LAB Type Other - OUTPAITIENT IMAGING
Facility Name METHODIST - CDI DBA RAYUS RADIOLOGY
Street 1750 N HAMPTON ROAD
City DESOTO
State TX
ZIP 75115
Phone 214 420-5400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2023
Certificate Expiration Date 11/30/2025
Facility Type Other - OUTPAITIENT IMAGING
Lab Director CAROLYN J. VANDIVER

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