45D2058925 CLIA NUMBER - RACHENETTA V STIMAGE MD PA

Laboratory Demographics

  • CLIA Code: 45D2058925
  • Facility Name: RACHENETTA V STIMAGE MD PA
  • Facility Address: 4333 N JOSEY LANE SUITE 200
    CARROLLTON, TX
    ZIP 75010
  • Facility Phone: 972 492-7606
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RACHENETTA STIMAGE
  • NPI Number: 1861601049
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 45D2058925
LAB Type Physician Office
Facility Name RACHENETTA V STIMAGE MD PA
Street 4333 N JOSEY LANE SUITE 200
City CARROLLTON
State TX
ZIP 75010
Phone 972 492-7606
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/14/2025
Certificate Expiration Date 5/13/2027
Facility Type Physician Office
Lab Director RACHENETTA STIMAGE

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