45D2047307 CLIA NUMBER - WEST PLANO DIABETES AND ENDOCRINE CENTER, PA

Laboratory Demographics

  • CLIA Code: 45D2047307
  • Facility Name: WEST PLANO DIABETES AND ENDOCRINE CENTER, PA
  • Facility Address: 6124 W PARKER ROAD, MEDICAL BLDG 3, SUITE 332
    PLANO, TX
    ZIP 75093
  • Facility Phone: 972 981-7812
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY H. PERLMAN
  • NPI Number: 1518535830
  • Taxonomy: 207PE0004X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2047307
LAB Type Physician Office
Facility Name WEST PLANO DIABETES AND ENDOCRINE CENTER, PA
Street 6124 W PARKER ROAD, MEDICAL BLDG 3, SUITE 332
City PLANO
State TX
ZIP 75093
Phone 972 981-7812
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2024
Certificate Expiration Date 9/19/2026
Facility Type Physician Office
Lab Director JEFFREY H. PERLMAN

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