45D2060062 CLIA NUMBER - COMPLEX CARE MEDICAL SERVICES

Laboratory Demographics

  • CLIA Code: 45D2060062
  • Facility Name: COMPLEX CARE MEDICAL SERVICES
  • Facility Address: 2350 N STEMMONS FREEWAY SUITE F2450
    DALLAS, TX
    ZIP 75207
  • Facility Phone: (469) 488-7200
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: PATRICIA PETROFF
  • NPI Number: 1013256098
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2060062
LAB Type Practitioner Other
Facility Name COMPLEX CARE MEDICAL SERVICES
Street 2350 N STEMMONS FREEWAY SUITE F2450
City DALLAS
State TX
ZIP 75207
Phone 4694887200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/5/2025
Certificate Expiration Date 6/4/2027
Facility Type Practitioner Other
Lab Director PATRICIA PETROFF

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026