45D2064351 CLIA NUMBER - PLANO SUPREME PRIMARY CARE INC

Laboratory Demographics

  • CLIA Code: 45D2064351
  • Facility Name: PLANO SUPREME PRIMARY CARE INC
  • Facility Address: 4020 HEDGECOXE RD, SUITE 700
    PLANO, TX
    ZIP 75024
  • Facility Phone: 972 213-0088
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: YINGHUI LIU MD
  • NPI Number: 1982046561
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2064351
LAB Type Physician Office
Facility Name PLANO SUPREME PRIMARY CARE INC
Street 4020 HEDGECOXE RD, SUITE 700
City PLANO
State TX
ZIP 75024
Phone 972 213-0088
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2025
Certificate Expiration Date 8/18/2027
Facility Type Physician Office
Lab Director YINGHUI LIU MD

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