45D2088913 CLIA NUMBER - DFW WOUND MANAGMENT, PLLC

Laboratory Demographics

  • CLIA Code: 45D2088913
  • Facility Name: DFW WOUND MANAGMENT, PLLC
  • Facility Address: 17051 N DALLAS PKWY SUITE 250 METHODIST WOUND CLINIC - PRIMARY OFFICE
    ADDISON, TX
    ZIP 75001
  • Facility Phone: 469 277-2703
  • Facility Type: Health Fair
  • Facility Type: Waiver
  • Lab Director: SHANNON B. PAYSEUR
  • NPI Number: 1215333067
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2088913
LAB Type Health Fair
Facility Name DFW WOUND MANAGMENT, PLLC
Street 17051 N DALLAS PKWY SUITE 250 METHODIST WOUND CLINIC - PRIMARY OFFICE
City ADDISON
State TX
ZIP 75001
Phone 469 277-2703
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2024
Certificate Expiration Date 12/16/2026
Facility Type Health Fair
Lab Director SHANNON B. PAYSEUR

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