45D2072370 CLIA NUMBER - PATHGROUP LABS, LLC ADDISON

Laboratory Demographics

  • CLIA Code: 45D2072370
  • Facility Name: PATHGROUP LABS, LLC ADDISON
  • Facility Address: 4450 SOJOURN DR SUITE 200
    ADDISON, TX
    ZIP 75001
  • Facility Phone: 615 562-9545
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Accreditation
  • Lab Director: DR. BENTON R. MIDDLEMAN
  • NPI Number: 1578155115
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 45D2072370
LAB Type Ambulatory Surgery Center
Facility Name PATHGROUP LABS, LLC ADDISON
Street 4450 SOJOURN DR SUITE 200
City ADDISON
State TX
ZIP 75001
Phone 615 562-9545
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/3/2025
Certificate Expiration Date 6/2/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. BENTON R. MIDDLEMAN

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