45D2093694 CLIA NUMBER - BLUEBONNET SURGERY PAVILION

Laboratory Demographics

  • CLIA Code: 45D2093694
  • Facility Name: BLUEBONNET SURGERY PAVILION
  • Facility Address: 1324 BROWN STREET, SUITE 600
    WAXAHACHIE, TX
    ZIP 75165
  • Facility Phone: 972 937-4000
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: PRITESH M. PATEL
  • NPI Number: 1639561640
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2093694
LAB Type Ambulatory Surgery Center
Facility Name BLUEBONNET SURGERY PAVILION
Street 1324 BROWN STREET, SUITE 600
City WAXAHACHIE
State TX
ZIP 75165
Phone 972 937-4000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2025
Certificate Expiration Date 4/1/2027
Facility Type Ambulatory Surgery Center
Lab Director PRITESH M. PATEL

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