45D2092344 CLIA NUMBER - TEXAS DIGESTIVE DISEASE CONSULTANTS

Laboratory Demographics

  • CLIA Code: 45D2092344
  • Facility Name: TEXAS DIGESTIVE DISEASE CONSULTANTS
  • Facility Address: 7777 FOREST LANE SUITE C-828
    DALLAS, TX
    ZIP 75230
  • Facility Phone: 214 424-2213
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NEVILLE F. FERNANDES
  • NPI Number: 1912308271
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2092344
LAB Type Physician Office
Facility Name TEXAS DIGESTIVE DISEASE CONSULTANTS
Street 7777 FOREST LANE SUITE C-828
City DALLAS
State TX
ZIP 75230
Phone 214 424-2213
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2025
Certificate Expiration Date 3/2/2027
Facility Type Physician Office
Lab Director NEVILLE F. FERNANDES

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This page was last updated on: 3/20/2025