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45D2080542 CLIA NUMBER - PREMIER HISTOLOGY OF TEXAS LLC

Laboratory Demographics

CLIA Number: 45D2080542

Facility Name: PREMIER HISTOLOGY OF TEXAS LLC

Facility Address:
15058 BELTWAY DR SUITE 113
ADDISON, TX
ZIP 75001
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Facility Phone Number: 214 668-3765

Facility Type: Independent

Certificate Type: Certificate of Compliance
NPI Number: 1629486659

Taxonomy: 291U00000X - Clinical Medical Laboratory
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

CLIA Record

Field Name Field Value
CLIA Number 45D2080542
LAB Type Independent
Facility Name PREMIER HISTOLOGY OF TEXAS LLC
Street 15058 BELTWAY DR SUITE 113
City ADDISON
State TX
ZIP 75001
Phone 214 668-3765
CertificateType 2
CertificateEffectiveDate 6/30/2022
CertificateExpirationDate 6/29/2024
FacilityType Compliance

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This page was last updated on: 4/23/2024