45D2057118 CLIA NUMBER - JOHN R PORTER, MD, PA

Laboratory Demographics

  • CLIA Code: 45D2057118
  • Facility Name: JOHN R PORTER, MD, PA
  • Facility Address: 1112 N FLOYD ROAD, SUITE #10
    RICHARDSON, TX
    ZIP 75080
  • Facility Phone: 972 235-6911
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN R. PORTER
  • NPI Number: 1205803541
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2057118
LAB Type Physician Office
Facility Name JOHN R PORTER, MD, PA
Street 1112 N FLOYD ROAD, SUITE #10
City RICHARDSON
State TX
ZIP 75080
Phone 972 235-6911
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2025
Certificate Expiration Date 4/8/2027
Facility Type Physician Office
Lab Director JOHN R. PORTER

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