45D1060868 CLIA NUMBER - W BRAD GATES, MD, PA

Laboratory Demographics

  • CLIA Code: 45D1060868
  • Facility Name: W BRAD GATES, MD, PA
  • Facility Address: 3108 MIDWAY ROAD, SUITE 105
    PLANO, TX
    ZIP 75093
  • Facility Phone: 972 801-9100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM B. GATES
  • NPI Number: 1306054176
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1060868
LAB Type Physician Office
Facility Name W BRAD GATES, MD, PA
Street 3108 MIDWAY ROAD, SUITE 105
City PLANO
State TX
ZIP 75093
Phone 972 801-9100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2024
Certificate Expiration Date 11/2/2026
Facility Type Physician Office
Lab Director WILLIAM B. GATES

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