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45D2013556 CLIA NUMBER - PROGRESSIVE HEALTH FAMILY MEDICINE PLLC

Laboratory Demographics

CLIA Number: 45D2013556

Facility Name: PROGRESSIVE HEALTH FAMILY MEDICINE PLLC

Facility Address:
1780 W VIRGINIA STREET, STE 200
MCKINNEY, TX
ZIP 75069
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Facility Phone Number: 972 369-1871

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1407301435

Taxonomy: 291U00000X - Clinical Medical Laboratory
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

CLIA Record

Field Name Field Value
CLIA Number 45D2013556
LAB Type Physician Office
Facility Name PROGRESSIVE HEALTH FAMILY MEDICINE PLLC
Street 1780 W VIRGINIA STREET, STE 200
City MCKINNEY
State TX
ZIP 75069
Phone 972 369-1871
CertificateType 4
CertificateEffectiveDate 9/21/2022
CertificateExpirationDate 9/20/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024