45D1088359 CLIA NUMBER - METHODIST HOSP OF DALLAS DBA METHODIST RICHARDSON MED CTR BUSH RENNER CAMPUS CANCER CENTER

Laboratory Demographics

  • CLIA Code: 45D1088359
  • Facility Name: METHODIST HOSP OF DALLAS DBA METHODIST RICHARDSON MED CTR BUSH RENNER CAMPUS CANCER CENTER
  • Facility Address: 2805 E PRESIDENT GEORGE BUSH HWY
    RICHARDSON, TX
    ZIP 75082
  • Facility Phone: 469 204-7021
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: WAREEF KABBANI
  • NPI Number: 1922825322
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1088359
LAB Type Other
Facility Name METHODIST HOSP OF DALLAS DBA METHODIST RICHARDSON MED CTR BUSH RENNER CAMPUS CANCER CENTER
Street 2805 E PRESIDENT GEORGE BUSH HWY
City RICHARDSON
State TX
ZIP 75082
Phone 469 204-7021
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2024
Certificate Expiration Date 12/3/2026
Facility Type Other
Lab Director WAREEF KABBANI

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