45D2019331 CLIA NUMBER - TEXAS SPINE CONSULTANTS

Laboratory Demographics

  • CLIA Code: 45D2019331
  • Facility Name: TEXAS SPINE CONSULTANTS
  • Facility Address: 17051 NORTH DALLAS PARKWAY SUITE 400
    ADDISON, TX
    ZIP 75001
  • Facility Phone: 214 370-3535
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LIN CHUN M
  • NPI Number: 1871748384
  • Taxonomy: 207XS0117X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 45D2019331
LAB Type Physician Office
Facility Name TEXAS SPINE CONSULTANTS
Street 17051 NORTH DALLAS PARKWAY SUITE 400
City ADDISON
State TX
ZIP 75001
Phone 214 370-3535
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Physician Office
Lab Director LIN CHUN M

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