45D2110525 CLIA NUMBER - MED SOUTHWEST, PLLA

Laboratory Demographics

  • CLIA Code: 45D2110525
  • Facility Name: MED SOUTHWEST, PLLA
  • Facility Address: 2301 ELDORADO PKWY
    MCKINNEY, TX
    ZIP 75070
  • Facility Phone: 703 847-8899
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH KAVANAGH
  • NPI Number: 1245876309
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 45D2110525
LAB Type Physician Office
Facility Name MED SOUTHWEST, PLLA
Street 2301 ELDORADO PKWY
City MCKINNEY
State TX
ZIP 75070
Phone 703 847-8899
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2024
Certificate Expiration Date 3/15/2026
Facility Type Physician Office
Lab Director JOSEPH KAVANAGH

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