45D2007096 CLIA NUMBER - PROACTIVE WORK HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 45D2007096
  • Facility Name: PROACTIVE WORK HEALTH SERVICES
  • Facility Address: 1341 W MOCKINGBIRD LANE SUTE 200W
    DALLAS, TX
    ZIP 75247
  • Facility Phone: 214 630-1144
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN A. BARONE
  • NPI Number: 1275629560
  • Taxonomy: 261QX0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2007096
LAB Type Physician Office
Facility Name PROACTIVE WORK HEALTH SERVICES
Street 1341 W MOCKINGBIRD LANE SUTE 200W
City DALLAS
State TX
ZIP 75247
Phone 214 630-1144
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2024
Certificate Expiration Date 5/6/2026
Facility Type Physician Office
Lab Director JOHN A. BARONE

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