45D2118262 CLIA NUMBER - MED SOUTHWEST, PLLA

Laboratory Demographics

  • CLIA Code: 45D2118262
  • Facility Name: MED SOUTHWEST, PLLA
  • Facility Address: 2313 W PARKER ROAD
    PLANO, TX
    ZIP 75023
  • Facility Phone: (703) 847-8899
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH KAVANAGH
  • NPI Number: 1033722699
  • Taxonomy: 152W00000X - Optometrist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2118262
LAB Type Physician Office
Facility Name MED SOUTHWEST, PLLA
Street 2313 W PARKER ROAD
City PLANO
State TX
ZIP 75023
Phone 7038478899
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2024
Certificate Expiration Date 9/1/2026
Facility Type Physician Office
Lab Director JOSEPH KAVANAGH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026