45D2085608 CLIA NUMBER - ECSC II, PA

Laboratory Demographics

  • CLIA Code: 45D2085608
  • Facility Name: ECSC II, PA
  • Facility Address: 5421 LASIERRA DRIVE
    DALLAS, TX
    ZIP 75231
  • Facility Phone: 214 361-1443
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WESLEY K. HERMAN
  • NPI Number: 1851687644
  • Taxonomy: 156FX1100X - Technician/Technologist

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CLIA Record

Field Name Field Value
CLIA Number 45D2085608
LAB Type Physician Office
Facility Name ECSC II, PA
Street 5421 LASIERRA DRIVE
City DALLAS
State TX
ZIP 75231
Phone 214 361-1443
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2024
Certificate Expiration Date 10/16/2026
Facility Type Physician Office
Lab Director WESLEY K. HERMAN

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