45D1106337 CLIA NUMBER - CROWN IMAGING

Laboratory Demographics

  • CLIA Code: 45D1106337
  • Facility Name: CROWN IMAGING
  • Facility Address: 7515 GREENVILLE AVENUE, SUITE 200
    DALLAS, TX
    ZIP 75231
  • Facility Phone: 972 759-5140
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CLIFTON C. BERRY
  • NPI Number: 1275860652
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1106337
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CROWN IMAGING
Street 7515 GREENVILLE AVENUE, SUITE 200
City DALLAS
State TX
ZIP 75231
Phone 972 759-5140
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2025
Certificate Expiration Date 10/8/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director CLIFTON C. BERRY

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