45D2110775 CLIA NUMBER - MICHAEL BRANCHEAU, MD, PLLC

Laboratory Demographics

  • CLIA Code: 45D2110775
  • Facility Name: MICHAEL BRANCHEAU, MD, PLLC
  • Facility Address: 9330 POPPY DRIVE SUITE 503
    DALLAS, TX
    ZIP 75218
  • Facility Phone: 214 324-9301
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL BRANCHEAU
  • NPI Number: 1134288012
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2110775
LAB Type Physician Office
Facility Name MICHAEL BRANCHEAU, MD, PLLC
Street 9330 POPPY DRIVE SUITE 503
City DALLAS
State TX
ZIP 75218
Phone 214 324-9301
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2024
Certificate Expiration Date 3/22/2026
Facility Type Physician Office
Lab Director MICHAEL BRANCHEAU

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