45D2099494 CLIA NUMBER - ALLISON H HENDERSON MD PA

Laboratory Demographics

  • CLIA Code: 45D2099494
  • Facility Name: ALLISON H HENDERSON MD PA
  • Facility Address: 1112 N FLOYD ROAD SUITE 8
    RICHARDSON, TX
    ZIP 75080
  • Facility Phone: 214 484-8802
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALLISON H. HENDERSON
  • NPI Number: 1124531306
  • Taxonomy: 133V00000X - Dietitian, Registered

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CLIA Record

Field Name Field Value
CLIA Number 45D2099494
LAB Type Physician Office
Facility Name ALLISON H HENDERSON MD PA
Street 1112 N FLOYD ROAD SUITE 8
City RICHARDSON
State TX
ZIP 75080
Phone 214 484-8802
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2025
Certificate Expiration Date 4/3/2027
Facility Type Physician Office
Lab Director ALLISON H. HENDERSON

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