45D2154918 CLIA NUMBER - EXULT HEALTHCARE

Laboratory Demographics

  • CLIA Code: 45D2154918
  • Facility Name: EXULT HEALTHCARE
  • Facility Address: 4801 MEDICAL CENTER PKWY
    MCKINNEY, TX
    ZIP 75069
  • Facility Phone: 469 714-0006
  • Facility Type: Other - BEHAVIORAL FACILITY
  • Facility Type: Waiver
  • Lab Director: DEEPIKA BHORGAVA
  • NPI Number: 1881059079
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2154918
LAB Type Other - BEHAVIORAL FACILITY
Facility Name EXULT HEALTHCARE
Street 4801 MEDICAL CENTER PKWY
City MCKINNEY
State TX
ZIP 75069
Phone 469 714-0006
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 Other - BEHAVIORAL FACILITY
Lab Director DEEPIKA BHORGAVA

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