45D2154886 CLIA NUMBER - SUSAN BACSIK DO, PLLC/OAK CLIFF PEDIATRICS

Laboratory Demographics

  • CLIA Code: 45D2154886
  • Facility Name: SUSAN BACSIK DO, PLLC/OAK CLIFF PEDIATRICS
  • Facility Address: 1107 W JEFFERSON BLVD
    DALLAS, TX
    ZIP 75208
  • Facility Phone: 469 300-5437
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUSAN L. BACSIK
  • NPI Number: 1548752850
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2154886
LAB Type Physician Office
Facility Name SUSAN BACSIK DO, PLLC/OAK CLIFF PEDIATRICS
Street 1107 W JEFFERSON BLVD
City DALLAS
State TX
ZIP 75208
Phone 469 300-5437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2024
Certificate Expiration Date 9/19/2026
Facility Type Physician Office
Lab Director SUSAN L. BACSIK

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