45D1079463 CLIA NUMBER - NORTH TEXAS PATHOLOGY LABORATORIES,LLC

Laboratory Demographics

  • CLIA Code: 45D1079463
  • Facility Name: NORTH TEXAS PATHOLOGY LABORATORIES,LLC
  • Facility Address: 7501 LAKEVIEW PARKWAY, SUITE 160
    ROWLETT, TX
    ZIP 75088
  • Facility Phone: 972 412-3380
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. CHARLES E. MANGUM
  • NPI Number: 1992766356
  • Taxonomy: 207ZP0102X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 45D1079463
LAB Type Independent
Facility Name NORTH TEXAS PATHOLOGY LABORATORIES,LLC
Street 7501 LAKEVIEW PARKWAY, SUITE 160
City ROWLETT
State TX
ZIP 75088
Phone 972 412-3380
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/18/2025
Certificate Expiration Date 6/17/2027
Facility Type Independent
Lab Director DR. CHARLES E. MANGUM

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