45D2124101 CLIA NUMBER - PROFESSIONAL OFFICE BUILDING OUTPATIENT CLINICS

Laboratory Demographics

  • CLIA Code: 45D2124101
  • Facility Name: PROFESSIONAL OFFICE BUILDING OUTPATIENT CLINICS
  • Facility Address: 5939 HARRY HINES BLVD POB I, 9TH FLOOR HP9,904C
    DALLAS, TX
    ZIP 75390
  • Facility Phone: 214 633-4905
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Accreditation
  • Lab Director: DR. JYOTI P. BALANI
  • NPI Number: 1871850594
  • Taxonomy: 281P00000X - Chronic Disease Hospital

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CLIA Record

Field Name Field Value
CLIA Number 45D2124101
LAB Type Ancillary Testing Site in Health Care Center
Facility Name PROFESSIONAL OFFICE BUILDING OUTPATIENT CLINICS
Street 5939 HARRY HINES BLVD POB I, 9TH FLOOR HP9,904C
City DALLAS
State TX
ZIP 75390
Phone 214 633-4905
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 1/17/2024
Certificate Expiration Date 1/16/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DR. JYOTI P. BALANI

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