45D2045964 CLIA NUMBER - TEXAS RETINA ASSOCIATES

Laboratory Demographics

  • CLIA Code: 45D2045964
  • Facility Name: TEXAS RETINA ASSOCIATES
  • Facility Address: 9600 NORTH CENTRAL EXPY, SUITE 100
    DALLAS, TX
    ZIP 75231
  • Facility Phone: 214 692-6885
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GARY EDD FISH MD
  • NPI Number: 1417999855
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 45D2045964
LAB Type Physician Office
Facility Name TEXAS RETINA ASSOCIATES
Street 9600 NORTH CENTRAL EXPY, SUITE 100
City DALLAS
State TX
ZIP 75231
Phone 214 692-6885
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2024
Certificate Expiration Date 8/22/2026
Facility Type Physician Office
Lab Director GARY EDD FISH MD

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