45D2007246 CLIA NUMBER - HILLCREST FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 45D2007246
  • Facility Name: HILLCREST FAMILY MEDICINE
  • Facility Address: 4500 HILLCREST ROAD, SUITE 180
    FRISCO, TX
    ZIP 75035
  • Facility Phone: 214 619-5410
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KNSTOFFER D. PEPPERELL
  • NPI Number: 1043739097
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 45D2007246
LAB Type Physician Office
Facility Name HILLCREST FAMILY MEDICINE
Street 4500 HILLCREST ROAD, SUITE 180
City FRISCO
State TX
ZIP 75035
Phone 214 619-5410
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2024
Certificate Expiration Date 5/11/2026
Facility Type Physician Office
Lab Director KNSTOFFER D. PEPPERELL

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