45D1052568 CLIA NUMBER - NORTH TEXAS FOOT & ANKLE

Laboratory Demographics

  • CLIA Code: 45D1052568
  • Facility Name: NORTH TEXAS FOOT & ANKLE
  • Facility Address: 1145 KINWEST PKWY SUITE 100
    IRVING, TX
    ZIP 75063
  • Facility Phone: 214 574-9255
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RONICA HOLCOMBE
  • NPI Number: 1821074451
  • Taxonomy: 213ES0103X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 45D1052568
LAB Type Physician Office
Facility Name NORTH TEXAS FOOT & ANKLE
Street 1145 KINWEST PKWY SUITE 100
City IRVING
State TX
ZIP 75063
Phone 214 574-9255
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2024
Certificate Expiration Date 3/28/2026
Facility Type Physician Office
Lab Director RONICA HOLCOMBE

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This page was last updated on: 6/4/2025