45D2152608 CLIA NUMBER - NORTH STAR FM, LP

Laboratory Demographics

  • CLIA Code: 45D2152608
  • Facility Name: NORTH STAR FM, LP
  • Facility Address: 4951 LONG PRAIRIE RD, STE 105
    FLOWER MOUND, TX
    ZIP 75028
  • Facility Phone: 469 347-3988
  • Facility Type: Other - IMAGING CENTER
  • Facility Type: Waiver
  • Lab Director: FRANCIS WU
  • NPI Number: 1174812028
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2152608
LAB Type Other - IMAGING CENTER
Facility Name NORTH STAR FM, LP
Street 4951 LONG PRAIRIE RD, STE 105
City FLOWER MOUND
State TX
ZIP 75028
Phone 469 347-3988
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2024
Certificate Expiration Date 8/12/2026
Facility Type Other - IMAGING CENTER
Lab Director FRANCIS WU

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