45D2047397 CLIA NUMBER - ALLIANCE OB/GYN SPECIALIST

Laboratory Demographics

  • CLIA Code: 45D2047397
  • Facility Name: ALLIANCE OB/GYN SPECIALIST
  • Facility Address: 323 N BONNIE BRAE STREET
    DENTON, TX
    ZIP 76201
  • Facility Phone: 940 484-7100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK WILSON
  • NPI Number: 1063420271
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 45D2047397
LAB Type Physician Office
Facility Name ALLIANCE OB/GYN SPECIALIST
Street 323 N BONNIE BRAE STREET
City DENTON
State TX
ZIP 76201
Phone 940 484-7100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2024
Certificate Expiration Date 9/23/2026
Facility Type Physician Office
Lab Director MARK WILSON

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