45D2047759 CLIA NUMBER - ENVISION IMAGING LAS COLINAS

Laboratory Demographics

  • CLIA Code: 45D2047759
  • Facility Name: ENVISION IMAGING LAS COLINAS
  • Facility Address: 925 WEST ROYAL LANE # 100
    IRVING, TX
    ZIP 75039
  • Facility Phone: 214 483-6200
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: WARREN C. MARTIN
  • NPI Number: 1659628659
  • Taxonomy: 293D00000X - Physiological Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 45D2047759
LAB Type Independent
Facility Name ENVISION IMAGING LAS COLINAS
Street 925 WEST ROYAL LANE # 100
City IRVING
State TX
ZIP 75039
Phone 214 483-6200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Independent
Lab Director WARREN C. MARTIN

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