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