45D2004217 CLIA NUMBER - MED FUSION, LLC

Laboratory Demographics

  • CLIA Code: 45D2004217
  • Facility Name: MED FUSION, LLC
  • Facility Address: 2501 S STATE HWY 121 SUITE 1100
    LEWISVILLE, TX
    ZIP 75067
  • Facility Phone: 972 966-7035
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. ITHIEL J. FRAME
  • NPI Number: 1720306566
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 45D2004217
LAB Type Independent
Facility Name MED FUSION, LLC
Street 2501 S STATE HWY 121 SUITE 1100
City LEWISVILLE
State TX
ZIP 75067
Phone 972 966-7035
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/9/2025
Certificate Expiration Date 3/8/2027
Facility Type Independent
Lab Director DR. ITHIEL J. FRAME

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