45D1098021 CLIA NUMBER - COORDINATED HEALTH SERVICES, P A

Laboratory Demographics

CLIA Number: 45D1098021

Facility Name: COORDINATED HEALTH SERVICES, P A

Facility Address:
5904 CHAPEL HILL BLVD, # 102
PLANO, TX
ZIP 75093
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Facility Phone Number: 972 985-8508

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1205074192

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D1098021
LAB Type	Physician Office
Facility Name	COORDINATED HEALTH SERVICES, P A
Street	5904 CHAPEL HILL BLVD, # 102
City	PLANO
State	TX
ZIP	75093
Phone	972 985-8508
CertificateType	4
CertificateEffectiveDate	4/9/2023
CertificateExpirationDate	4/8/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024