45D2152612 CLIA NUMBER - NORTH STAR FP, LP

Laboratory Demographics

  • CLIA Code: 45D2152612
  • Facility Name: NORTH STAR FP, LP
  • Facility Address: 11970 N CENTRAL EXPY STE 100
    DALLAS, TX
    ZIP 75243
  • Facility Phone: 469 347-3988
  • Facility Type: Other - IMAGING CENTER
  • Facility Type: Waiver
  • Lab Director: PREETHI RATAKONDA
  • NPI Number: 1033630835
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2152612
LAB Type Other - IMAGING CENTER
Facility Name NORTH STAR FP, LP
Street 11970 N CENTRAL EXPY STE 100
City DALLAS
State TX
ZIP 75243
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 PREETHI RATAKONDA

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