45D2104201 CLIA NUMBER - PARAGON LASER & EYE SURGERY CENTER

Laboratory Demographics

CLIA Number: 45D2104201

Facility Name: PARAGON LASER & EYE SURGERY CENTER

Facility Address:
902 W RANDOL MILL RD, SUITE 230
ARLINGTON, TX
ZIP 76012
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Facility Phone Number: 817 277-6433

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1881060457

Taxonomy: 261QS0132X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2104201
LAB Type	Ambulatory Surgery Center
Facility Name	PARAGON LASER & EYE SURGERY CENTER
Street	902 W RANDOL MILL RD, SUITE 230
City	ARLINGTON
State	TX
ZIP	76012
Phone	817 277-6433
CertificateType	4
CertificateEffectiveDate	10/29/2023
CertificateExpirationDate	10/28/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024