45D2060980 CLIA NUMBER - RAY ROLLINS DO

Laboratory Demographics

  • CLIA Code: 45D2060980
  • Facility Name: RAY ROLLINS DO
  • Facility Address: 3635 BELTLINE ROAD, SUITE 110
    SUNNYVALE, TX
    ZIP 75182
  • Facility Phone: 972 216-1500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL OLATUNJI
  • NPI Number: 1205921038
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2060980
LAB Type Physician Office
Facility Name RAY ROLLINS DO
Street 3635 BELTLINE ROAD, SUITE 110
City SUNNYVALE
State TX
ZIP 75182
Phone 972 216-1500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2025
Certificate Expiration Date 6/19/2027
Facility Type Physician Office
Lab Director MICHAEL OLATUNJI

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