45D2046914 CLIA NUMBER - RAJ SHIWACH, MD PA

Laboratory Demographics

  • CLIA Code: 45D2046914
  • Facility Name: RAJ SHIWACH, MD PA
  • Facility Address: 941 YORK DRIVE, SUITE 200
    DESOTO, TX
    ZIP 75115
  • Facility Phone: 972 283-6283
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAJ SHIWACH MD
  • NPI Number: 1982840591
  • Taxonomy: 261QS1200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2046914
LAB Type Physician Office
Facility Name RAJ SHIWACH, MD PA
Street 941 YORK DRIVE, SUITE 200
City DESOTO
State TX
ZIP 75115
Phone 972 283-6283
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2024
Certificate Expiration Date 9/12/2026
Facility Type Physician Office
Lab Director RAJ SHIWACH MD

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