45D1102562 CLIA NUMBER - STONEBRIDGE ADULT MEDICINE, PA

Laboratory Demographics

  • CLIA Code: 45D1102562
  • Facility Name: STONEBRIDGE ADULT MEDICINE, PA
  • Facility Address: 3010 LEGACY DRIVE, SUITE 210
    FRISCO, TX
    ZIP 75034
  • Facility Phone: 214 618-9715
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HUI P. WANG
  • NPI Number: 1922263565
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1102562
LAB Type Physician Office
Facility Name STONEBRIDGE ADULT MEDICINE, PA
Street 3010 LEGACY DRIVE, SUITE 210
City FRISCO
State TX
ZIP 75034
Phone 214 618-9715
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2023
Certificate Expiration Date 7/20/2025
Facility Type Physician Office
Lab Director HUI P. WANG

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This page was last updated on: 6/4/2025