45D2117288 CLIA NUMBER - TEXAS RETINA ASSOCIATES

Laboratory Demographics

  • CLIA Code: 45D2117288
  • Facility Name: TEXAS RETINA ASSOCIATES
  • Facility Address: 1708 COIT ROAD, SUITE 215
    PLANO, TX
    ZIP 75075
  • Facility Phone: 214 692-6885
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT C. WANG
  • NPI Number: 1821007675
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 45D2117288
LAB Type Physician Office
Facility Name TEXAS RETINA ASSOCIATES
Street 1708 COIT ROAD, SUITE 215
City PLANO
State TX
ZIP 75075
Phone 214 692-6885
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Physician Office
Lab Director ROBERT C. WANG

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