45D2145725 CLIA NUMBER - BAYLOR SCOTT & WHITE SURGICARE PLANO ALLIANCE

Laboratory Demographics

  • CLIA Code: 45D2145725
  • Facility Name: BAYLOR SCOTT & WHITE SURGICARE PLANO ALLIANCE
  • Facility Address: 4825 ALLIANCE BLVD SUITE 300
    PLANO, TX
    ZIP 75093
  • Facility Phone: 469 367-0700
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ASHLEY ELI
  • NPI Number: 1760912554
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2145725
LAB Type Ambulatory Surgery Center
Facility Name BAYLOR SCOTT & WHITE SURGICARE PLANO ALLIANCE
Street 4825 ALLIANCE BLVD SUITE 300
City PLANO
State TX
ZIP 75093
Phone 469 367-0700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2024
Certificate Expiration Date 3/13/2026
Facility Type Ambulatory Surgery Center
Lab Director ASHLEY ELI

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