45D1073261 CLIA NUMBER - JON T RICKS, MD PA

Laboratory Demographics

  • CLIA Code: 45D1073261
  • Facility Name: JON T RICKS, MD PA
  • Facility Address: 5575 FRISCO SQUARE BLVD SUITE 310
    FRISCO, TX
    ZIP 75034
  • Facility Phone: 972 377-6800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JON T. RICKS
  • NPI Number: 1316938632
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 45D1073261
LAB Type Physician Office
Facility Name JON T RICKS, MD PA
Street 5575 FRISCO SQUARE BLVD SUITE 310
City FRISCO
State TX
ZIP 75034
Phone 972 377-6800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2025
Certificate Expiration Date 9/4/2027
Facility Type Physician Office
Lab Director JON T. RICKS

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