45D1055040 CLIA NUMBER - HEALTH TEXAS PROVIDER NETWORK D/B/A BAYLOR AMBULATORY ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 45D1055040
  • Facility Name: HEALTH TEXAS PROVIDER NETWORK D/B/A BAYLOR AMBULATORY ENDOSCOPY CENTER
  • Facility Address: 4708 ALLIANCE BLVD, SUITE 210
    PLANO, TX
    ZIP 75093
  • Facility Phone: 972 758-4950
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: LINDA S. ZAHN RN
  • NPI Number: 1487226791
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 45D1055040
LAB Type Ambulatory Surgery Center
Facility Name HEALTH TEXAS PROVIDER NETWORK D/B/A BAYLOR AMBULATORY ENDOSCOPY CENTER
Street 4708 ALLIANCE BLVD, SUITE 210
City PLANO
State TX
ZIP 75093
Phone 972 758-4950
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2024
Certificate Expiration Date 6/6/2026
Facility Type Ambulatory Surgery Center
Lab Director LINDA S. ZAHN RN

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