45D2144861 CLIA NUMBER - BLUE STAR IMAGING AT THE STAR

Laboratory Demographics

  • CLIA Code: 45D2144861
  • Facility Name: BLUE STAR IMAGING AT THE STAR
  • Facility Address: 3800 GAYLORD PARKWAY SUITE 150
    FRISCO, TX
    ZIP 75034
  • Facility Phone: 972 497-4100
  • Facility Type: Other - OUTPATIENT IMAGING CENTER
  • Facility Type: Waiver
  • Lab Director: MICHELLE D. VIG
  • NPI Number: 1871101899
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2144861
LAB Type Other - OUTPATIENT IMAGING CENTER
Facility Name BLUE STAR IMAGING AT THE STAR
Street 3800 GAYLORD PARKWAY SUITE 150
City FRISCO
State TX
ZIP 75034
Phone 972 497-4100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2024
Certificate Expiration Date 2/25/2026
Facility Type Other - OUTPATIENT IMAGING CENTER
Lab Director MICHELLE D. VIG

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