45D2087699 CLIA NUMBER - BAYLOR SCOTT & WHITE -CARDIOVASCULAR CONSULTANTS KELLER

Laboratory Demographics

  • CLIA Code: 45D2087699
  • Facility Name: BAYLOR SCOTT & WHITE -CARDIOVASCULAR CONSULTANTS KELLER
  • Facility Address: 620 S MAIN STREET, SUITE 240
    KELLER, TX
    ZIP 76248
  • Facility Phone: 817 912-8060
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VIKAS JAIN
  • NPI Number: 1689002651
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 45D2087699
LAB Type Physician Office
Facility Name BAYLOR SCOTT & WHITE -CARDIOVASCULAR CONSULTANTS KELLER
Street 620 S MAIN STREET, SUITE 240
City KELLER
State TX
ZIP 76248
Phone 817 912-8060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2024
Certificate Expiration Date 12/1/2026
Facility Type Physician Office
Lab Director VIKAS JAIN

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