45D2081713 CLIA NUMBER - PLAZA MEDICAL CENTRE

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Laboratory Demographics

CLIA Number: 45D2081713

Facility Name: PLAZA MEDICAL CENTRE

Facility Address:
700 N PEARL STREET SUITE N 208
DALLAS, TX
ZIP 75201
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Facility Phone Number: 214 999-9355

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1861692725

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	45D2081713
LAB Type	Physician Office
Facility Name	PLAZA MEDICAL CENTRE
Street	700 N PEARL STREET SUITE N 208
City	DALLAS
State	TX
ZIP	75201
Phone	214 999-9355
CertificateType	4
CertificateEffectiveDate	7/29/2022
CertificateExpirationDate	7/28/2024
FacilityType	Waiver

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