45D2084738 CLIA NUMBER - GENESIS DIAGNOSTIC SERVICES

Laboratory Demographics

  • CLIA Code: 45D2084738
  • Facility Name: GENESIS DIAGNOSTIC SERVICES
  • Facility Address: 12150 SHILOH RD STE 124
    DALLAS, TX
    ZIP 75228
  • Facility Phone: 630 776-5027
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: KIRAN DHAKAL
  • NPI Number: 1326694670
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 45D2084738
LAB Type Independent
Facility Name GENESIS DIAGNOSTIC SERVICES
Street 12150 SHILOH RD STE 124
City DALLAS
State TX
ZIP 75228
Phone 630 776-5027
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 10/24/2023
Certificate Expiration Date 10/23/2025
Facility Type Independent
Lab Director KIRAN DHAKAL

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