45D1086016 CLIA NUMBER - EDWARD T SHIN, MD, PA

Laboratory Demographics

  • CLIA Code: 45D1086016
  • Facility Name: EDWARD T SHIN, MD, PA
  • Facility Address: 5804 COMMUNICATION PARKWAY, SUITE 100
    PLANO, TX
    ZIP 75093
  • Facility Phone: (972) 781-0300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDWARD T. SHIN
  • NPI Number: 1245385566
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1086016
LAB Type Physician Office
Facility Name EDWARD T SHIN, MD, PA
Street 5804 COMMUNICATION PARKWAY, SUITE 100
City PLANO
State TX
ZIP 75093
Phone 9727810300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2024
Certificate Expiration Date 7/1/2026
Facility Type Physician Office
Lab Director EDWARD T. SHIN

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This page was last updated on: 5/18/2026