45D1101368 CLIA NUMBER - CLOVER HEALTH, LLC

Laboratory Demographics

  • CLIA Code: 45D1101368
  • Facility Name: CLOVER HEALTH, LLC
  • Facility Address: 400 CHISHOLM PL STE 304 RM # 102
    PLANO, TX
    ZIP 75075
  • Facility Phone: 214 484-2013
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KURIACHAN UDUPP
  • NPI Number: 1477788107
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D1101368
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CLOVER HEALTH, LLC
Street 400 CHISHOLM PL STE 304 RM # 102
City PLANO
State TX
ZIP 75075
Phone 214 484-2013
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2025
Certificate Expiration Date 6/24/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KURIACHAN UDUPP

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