45D2137229 CLIA NUMBER - COPPELL SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 45D2137229
  • Facility Name: COPPELL SURGERY CENTER
  • Facility Address: 731 PLAZA BLVD ATTN CLIA LAB DIRECTOR
    COPPELL, TX
    ZIP 75019
  • Facility Phone: (469) 451-5700
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: TIMOTHY THOMASON
  • NPI Number: 1619429289
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2137229
LAB Type Ambulatory Surgery Center
Facility Name COPPELL SURGERY CENTER
Street 731 PLAZA BLVD ATTN CLIA LAB DIRECTOR
City COPPELL
State TX
ZIP 75019
Phone 4694515700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2025
Certificate Expiration Date 9/21/2027
Facility Type Ambulatory Surgery Center
Lab Director TIMOTHY THOMASON

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