45D2129255 CLIA NUMBER - PLANO WELLNESS PLLC

Laboratory Demographics

CLIA Number: 45D2129255

Facility Name: PLANO WELLNESS PLLC

Facility Address:
3060 COMMUNICATIONS PARKWAY, #105
PLANO, TX
ZIP 75093
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Facility Phone Number: 972 535-8000

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1033603907

Taxonomy: 207VG0400X - Obstetrics & Gynecology
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	45D2129255
LAB Type	Physician Office
Facility Name	PLANO WELLNESS PLLC
Street	3060 COMMUNICATIONS PARKWAY, #105
City	PLANO
State	TX
ZIP	75093
Phone	972 535-8000
CertificateType	3
CertificateEffectiveDate	4/17/2023
CertificateExpirationDate	4/16/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024