45D1069719 CLIA NUMBER - PREFERRED IMAGING ROWLETT

Laboratory Demographics

  • CLIA Code: 45D1069719
  • Facility Name: PREFERRED IMAGING ROWLETT
  • Facility Address: 8405 LAKEVIEW PKWY STE 200
    ROWLETT, TX
    ZIP 75088
  • Facility Phone: 972 412-0211
  • Facility Type: Other - DIAGNOSTIC IMAGING
  • Facility Type: Waiver
  • Lab Director: MITCHELL R. ENDRES
  • NPI Number: 1205911054
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1069719
LAB Type Other - DIAGNOSTIC IMAGING
Facility Name PREFERRED IMAGING ROWLETT
Street 8405 LAKEVIEW PKWY STE 200
City ROWLETT
State TX
ZIP 75088
Phone 972 412-0211
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2023
Certificate Expiration Date 6/11/2025
Facility Type Other - DIAGNOSTIC IMAGING
Lab Director MITCHELL R. ENDRES

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