45D2092719 CLIA NUMBER - GRETCHEN F TOLER MD, PLLC

Laboratory Demographics

  • CLIA Code: 45D2092719
  • Facility Name: GRETCHEN F TOLER MD, PLLC
  • Facility Address: 5477 GLEN LAKES DRIVE, SUITE 150
    DALLAS, TX
    ZIP 75231
  • Facility Phone: 214 432-4039
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GRETCHEN F. TOLER
  • NPI Number: 1144612011
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2092719
LAB Type Physician Office
Facility Name GRETCHEN F TOLER MD, PLLC
Street 5477 GLEN LAKES DRIVE, SUITE 150
City DALLAS
State TX
ZIP 75231
Phone 214 432-4039
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2025
Certificate Expiration Date 3/10/2027
Facility Type Physician Office
Lab Director GRETCHEN F. TOLER

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