45D2152211 CLIA NUMBER - LAS COLINAS ENDOCRINOLOGY, PA

Laboratory Demographics

  • CLIA Code: 45D2152211
  • Facility Name: LAS COLINAS ENDOCRINOLOGY, PA
  • Facility Address: 1153 W JOHN CARPENTER FWY STE 102 ATTN LAB DIRECTOR
    IRVING, TX
    ZIP 75039
  • Facility Phone: 469 291-0770
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAMATA BASANI
  • NPI Number: 1891286738
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2152211
LAB Type Physician Office
Facility Name LAS COLINAS ENDOCRINOLOGY, PA
Street 1153 W JOHN CARPENTER FWY STE 102 ATTN LAB DIRECTOR
City IRVING
State TX
ZIP 75039
Phone 469 291-0770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2024
Certificate Expiration Date 8/5/2026
Facility Type Physician Office
Lab Director SAMATA BASANI

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