45D2148517 CLIA NUMBER - QUANTUM FORMULA DIAGNOSTICS, LLC

Laboratory Demographics

  • CLIA Code: 45D2148517
  • Facility Name: QUANTUM FORMULA DIAGNOSTICS, LLC
  • Facility Address: 1451 EMPIRE CENTRAL SUITE 100A
    DALLAS, TX
    ZIP 75247
  • Facility Phone: 214 675-4774
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. MOHAMMAD T. OURANI
  • NPI Number: 1164017422
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 45D2148517
LAB Type Independent
Facility Name QUANTUM FORMULA DIAGNOSTICS, LLC
Street 1451 EMPIRE CENTRAL SUITE 100A
City DALLAS
State TX
ZIP 75247
Phone 214 675-4774
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 5/1/2025
Certificate Expiration Date 4/30/2027
Facility Type Independent
Lab Director DR. MOHAMMAD T. OURANI

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