45D2115889 CLIA NUMBER - ADVANCED SURGICAL CENTER, LLC

Laboratory Demographics

  • CLIA Code: 45D2115889
  • Facility Name: ADVANCED SURGICAL CENTER, LLC
  • Facility Address: 1018 EAST WHEATLAND ROAD
    DUNCANVILLE, TX
    ZIP 75116
  • Facility Phone: 469 904-8888
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Accreditation
  • Lab Director: DR. TIM T. ISSAC
  • NPI Number: 1194264036
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2115889
LAB Type Ambulatory Surgery Center
Facility Name ADVANCED SURGICAL CENTER, LLC
Street 1018 EAST WHEATLAND ROAD
City DUNCANVILLE
State TX
ZIP 75116
Phone 469 904-8888
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/29/2023
Certificate Expiration Date 12/28/2025
Facility Type Ambulatory Surgery Center
Lab Director DR. TIM T. ISSAC

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